<?
// import data RESTITUSI PEGAWAI BAGIAN SATU
include("config.php");

$sql = "
SET IDENTITY_INSERT [MedicalRestitusiDetail] ON

/* Data for the `MedicalRestitusiDetail` table  (Records 16001 - 16500) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16001, '74950356', '2004', '16001', '20040302', '20040224', 'Rendy Santoso', 'Anak I', 'dr Osrizal', '811199', 192800, 192800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16002, '63970464', '2004', '16002', '20040302', '20040226', '', 'Pegawai', 'Ladokgi', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16003, '75990602', '2004', '16003', '20040302', '20040224', '', 'Pegawai', 'drg Ratna Maulana', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16004, '76030008', '2004', '16004', '20040302', '20040224', '', 'Isteri', 'dr Soerachmo', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16005, '66950191', '2004', '16005', '20040302', '20040225', '', 'Pegawai', 'RSPI', '811199', 331200, 331200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16006, '76980517', '2004', '16006', '20040302', '20040210', '', 'Isteri', 'RS Mutiara Bunda', '811199', 137000, 137000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16007, '69960396', '2004', '16007', '20040302', '20040220', '', 'Anak I', 'Klinik Koja Permai', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16008, '27400906', '2004', '16008', '20040302', '20040219', '', 'Anak I', 'dr H Zainal', '811199', 242000, 242000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16009, '64000846', '2004', '16009', '20040302', '20040225', '', 'Pegawai', 'Ladokgi', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16010, '68000709', '2004', '16010', '20040302', '20040225', '', 'Pegawai', 'dr Pudji Wiyanti', '811199', 219000, 219000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16011, '60970474', '2004', '16011', '20040302', '20040226', '', 'Pegawai', 'drg Susetyo', '811199', 700000, 700000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16012, '78990600', '2004', '16012', '20040302', '20040227', '', 'Pegawai', 'RS Medika', '811199', 413400, 413400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16013, '68930133', '2004', '16013', '20040302', '20040227', '', 'Pegawai', 'RSCM', '811199', 487700, 487700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16014, '62920050', '2004', '16014', '20040302', '20040226', 'Teti Auliya A', 'Isteri', 'RS Paviliun Kartika', '811199', 450000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16015, '71950367', '2004', '16015', '20040302', '20040127', 'Sintong N. M.', 'Anak I', 'dr Bukit', '811199', 231700, 116700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16016, '71950367', '2004', '16016', '20040302', '20040131', 'Sintong N. M.', 'Anak I', 'ENT Centre', '811199', 855000, 743000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16017, '74950226', '2004', '16017', '20040304', '20040301', 'Sheza M. A.', 'Anak II', 'dr Gunawan', '811199', 122500, 122500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16018, '58021106', '2004', '16018', '20040304', '20040227', 'Dhannang', 'Anak I', 'dr Wijoyo', '811199', 257000, 257000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16019, '68920057', '2004', '16019', '20040304', '20040226', '', 'Isteri', 'RS Puri Cinere', '811199', 114300, 114300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16020, '65010987', '2004', '16020', '20040304', '20040225', '', 'Pegawai', 'dr Yanuar', '811199', 25000, 25000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16021, '68930133', '2004', '16021', '20040304', '20040303', '', 'Pegawai', 'Medika Bintaro', '811199', 48000, 48000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16022, '69970477', '2004', '16022', '20040304', '20040303', '', 'Pegawai', 'Klinik LPM', '811199', 86500, 86500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16023, '65980552', '2004', '16023', '20040304', '20040229', 'Harun Al Rasyid', 'Anak I', 'dr Soekarno', '811199', 213800, 213800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16024, '60910007', '2004', '16024', '20040304', '20040301', '', 'Pegawai', 'dr Erda', '811199', 382100, 283600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16025, '69970477', '2004', '16025', '20040304', '20040301', '', 'Pegawai', 'RSIA Hermina', '811199', 224407, 224407, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16026, '66970473', '2004', '16026', '20040304', '20040301', '', 'Pegawai', 'Yay Bina Sehat', '811199', 96000, 96000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16027, '72031488', '2004', '16027', '20040304', '20040223', '', 'Pegawai', 'dr Bambang', '811199', 245750, 245750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16028, '69960382', '2004', '16028', '20040304', '20040301', '', 'Anak II', 'Prima Medika', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16029, '71950367', '2004', '16029', '20040304', '20040228', '', 'Anak II', 'RSPI', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16030, '66990584', '2004', '16030', '20040304', '20040301', 'Andi Ernawati SE', 'Isteri', 'RS Bunda', '811199', 380000, 380000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16031, '65930143', '2004', '16031', '20040304', '20040224', 'Wiandra Bagus Wicaksono', 'Anak II', 'dr Subiakto', '811199', 134000, 134000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16032, '59021080', '2004', '16032', '20040304', '20040225', '', 'Anak I', 'Aptk Tumbuh Kembang', '811199', 50500, 50500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16033, '76021258', '2004', '16033', '20040304', '20040301', '', 'Pegawai', 'RSTebet', '811199', 696000, 696000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16034, '69960396', '2004', '16034', '20040304', '20040301', '', 'Anak I', 'RS Islam Jakarta', '811199', 127400, 127400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16035, '63950202', '2004', '16035', '20040304', '20040229', '', 'Anak II', 'dr Leny', '811199', 289800, 289800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16036, '51030006', '2004', '16036', '20040304', '20040226', '', 'Anak I', 'dr Indrajana', '811199', 1140700, 1140700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16037, '69000848', '2004', '16037', '20040304', '20040228', '', 'Pegawai', 'drg Dipo', '811199', 263000, 263000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16038, '70950214', '2004', '16038', '20040304', '20040225', 'Pratiwi Hadi', 'Isteri', 'Klinik Tribata', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16039, '77011033', '2004', '16039', '20040304', '20040226', '', 'Pegawai', 'dr R Prasasta', '811199', 449300, 449300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16040, '16801865', '2004', '16040', '20040304', '20040303', '', 'Anak I', 'dr Agus F', '811199', 565390, 565390, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16041, '54099650', '2004', '16041', '20040304', '20040302', '', 'Pegawai', 'dr Nylma', '811199', 1195700, 1195700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16042, '70920034', '2004', '16042', '20040304', '20040228', '', 'Pegawai', 'RS Mitra', '811199', 109300, 109300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16043, '69980544', '2004', '16043', '20040304', '20040228', 'Ramadhani Malik Abdillah', 'Anak I', 'RS Hermina', '811199', 221385, 221385, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16044, '75031490', '2004', '16044', '20040304', '20040213', '', 'Pegawai', 'RS Medistra', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16045, '17601989', '2004', '16045', '20040304', '20040302', '', 'Pegawai', 'RB Alvernia Agusta', '811199', 242000, 242000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16046, '5540008', '2004', '16046', '20040304', '20040302', '', 'Pegawai', 'Klinik Tiara', '811199', 54000, 54000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16047, '70970475', '2004', '16047', '20040304', '20040303', '', 'Pegawai', 'Klinik Pekayon', '811199', 253000, 253000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16048, '65920018', '2004', '16048', '20040304', '20040303', 'Aslha', 'Anak III', 'dr Himawan', '811199', 104500, 104500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16049, '65960399', '2004', '16049', '20040304', '20040224', '', 'Anak I', 'RS Hermina', '811199', 340486, 340486, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16050, '67950213', '2004', '16050', '20040304', '20040225', '', 'Pegawai', 'RS Jantung', '811199', 575000, 575000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16051, '17702001', '2004', '16051', '20040304', '20040302', '', 'Pegawai', 'Aptk Warung Buncit', '811199', 16500, 16500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16052, '74021263', '2004', '16052', '20040304', '20040228', '', 'Anak I', 'Klinik Prima Medika', '811199', 326150, 326150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16053, '70010882', '2004', '16053', '20040310', '20040308', '', 'Anak I', 'Aptk Cavita Farma', '811199', 224800, 224800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16054, '60950353', '2004', '16054', '20040310', '20040216', '', 'Anak I', 'RS Int,l Bintaro', '811199', 160297, 160297, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16055, '73021081', '2004', '16055', '20040310', '20040214', '', 'Anak I', 'dr Tintin', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16056, '71980506', '2004', '16056', '20040310', '20040304', '', 'Pegawai', 'dr Prasasta', '811199', 299100, 299100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16057, '65920039', '2004', '16057', '20040310', '20040224', '', 'Anak I', 'RS Int,l Bintaro', '811199', 681979, 681979, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16058, '74000792', '2004', '16058', '20040310', '20040224', '', 'Pegawai', 'dr David', '811199', 349900, 349900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16059, '72099654', '2004', '16059', '20040310', '20040304', '', 'Isteri', 'Klinik JMC', '811199', 353100, 353100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16060, '67960411', '2004', '16060', '20040310', '20040226', 'Endang Kuspringati S', 'Isteri', 'RB Citra Ananda', '811199', 298500, 298500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16061, '63970483', '2004', '16061', '20040310', '20040225', 'Eli', 'Isteri', 'PMI Bor', '811199', 401700, 401700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16062, '71980551', '2004', '16062', '20040310', '20040302', '', 'Pegawai', 'drg Endang Ekowati', '811199', 1400000, 1400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16063, '70031507', '2004', '16063', '20040310', '20040303', '', 'Pegawai', 'RS Saint Carolus', '811199', 218200, 218200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16064, '63990637', '2004', '16064', '20040310', '20040303', 'Hakimah Masfiah', 'Isteri', 'RS Budhi Asih', '811199', 191000, 191000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16065, '79021428', '2004', '16065', '20040310', '20040303', '', 'Pegawai', 'Ladokgi', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16066, '70950199', '2004', '16066', '20040310', NULL, '', 'Pegawai', 'dr M Ihsan', '811199', 506300, 356300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16067, '75000720', '2004', '16067', '20040310', '20040303', '', 'Pegawai', 'RS Puri Cinere', '811199', 330200, 330200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16068, '70000791', '2004', '16068', '20040310', '20040304', 'Safarina', 'Isteri', 'RS Haji Jakarta', '811199', 262400, 262400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16069, '71960437', '2004', '16069', '20040310', '20040301', 'Rinawati', 'Isteri', 'RS Medistra', '811199', 111400, 111400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16070, '68920057', '2004', '16070', '20040310', '20040304', '', 'Isteri', 'RS Puri Cinere', '811199', 288000, 288000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16071, '65920018', '2004', '16071', '20040310', '20040307', 'Irvansyah Firdaus', 'Anak II', 'dr Himawan', '811199', 138600, 138600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16072, '68950221', '2004', '16072', '20040310', '20040306', '', 'Anak II', 'RS Hermina', '811199', 228130, 228130, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16073, '62920017', '2004', '16073', '20040310', '20040307', '', 'Anak I', 'RS Tria Dipa', '811199', 272435, 272435, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16074, '73032086', '2004', '16074', '20040310', '20040306', '', 'Pegawai', 'Aptk Sundari', '811199', 168400, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16075, '72000707', '2004', '16075', '20040310', '20040306', '', 'Anak I', 'dr Tadjuddin', '811199', 656300, 656300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16076, '68950371', '2004', '16076', '20040310', '20040306', '', 'Pegawai', 'Rs Permata Cibubur', '811199', 320000, 320000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16077, '63950190', '2004', '16077', '20040310', '20040228', '', 'Pegawai', 'RSIA Permata', '811199', 533900, 533900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16078, '70000791', '2004', '16078', '20040310', '20040306', 'Safarina', 'Isteri', 'RS Haji Jakarta', '811199', 120150, 120150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16079, '65000730', '2004', '16079', '20040310', '20040212', '', 'Pegawai', 'dr Endang', '811199', 160750, 160750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16080, '69970477', '2004', '16080', '20040310', '20040306', '', 'Anak I', 'RS Mary', '811199', 51500, 51500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16081, '64970465', '2004', '16081', '20040310', '20040307', '', 'Pegawai', 'JMC', '811199', 116200, 116200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16082, '63970476', '2004', '16082', '20040310', '20040301', '', 'Pegawai', 'drg Abdoellah', '811199', 546000, 546000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16083, '16801896', '2004', '16083', '20040310', '20040227', '', 'Pegawai', 'dr Adnan', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16084, '67950168', '2004', '16084', '20040310', '20040306', '', 'Pegawai', 'RS Medistra', '811199', 485700, 485700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16085, '67970469', '2004', '16085', '20040310', '20040306', 'Suharti', 'Isteri', 'drg Gina', '811199', 1025000, 1025000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16086, '59920104', '2004', '16086', '20040310', '20040303', 'Diah Komalasari', 'Isteri', 'RS Medistra', '811199', 1433400, 1433400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16087, '73970451', '2004', '16087', '20040310', '20040306', '', 'Pegawai', 'drg Mitayani', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16088, '70000684', '2004', '16088', '20040310', '20040214', '', 'Pegawai', 'dr Gatami SpA', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16089, '74970450', '2004', '16089', '20040310', '20040305', '', 'Pegawai', 'RSIA Hermina', '811199', 122700, 122700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16090, '63920047', '2004', '16090', '20040310', '20040304', '', 'Isteri', 'dr Handaya', '811199', 303000, 303000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16091, '71940159', '2004', '16091', '20040310', '20040304', '', 'Anak I', 'Aptk Melawai', '811199', 96500, 96500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16092, '77021067', '2004', '16092', '20040310', '20040226', '', 'Pegawai', 'drg Endang E', '811199', 450000, 450000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16093, '64930110', '2004', '16093', '20040310', '20040226', '', 'Pegawai', 'drg Shinta Wibowo', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16094, '57990576', '2004', '16094', '20040310', '20040304', 'Sulastini', 'Isteri', 'RS Harum', '811199', 1125800, 1125800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16095, '63920052', '2004', '16095', '20040310', '20040305', '', 'Pegawai', 'dr Sumarmo', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16096, '79010904', '2004', '16096', '20040310', '20040308', '', 'Pegawai', 'Dharma Bhakti', '811199', 60500, 60500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16097, '74011037', '2004', '16097', '20040310', '20040205', '', 'Isteri', 'dr Subur S', '811199', 154300, 114300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16098, '72000772', '2004', '16098', '20040310', '20040224', '', 'Isteri', 'RS Harapan Bunda', '811199', 112900, 112900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16099, '74000725', '2004', '16099', '20040310', '20040309', '', 'Pegawai', 'dra  Mayagustina', '811199', 243200, 243200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16100, '66000735', '2004', '16100', '20040310', '20040223', '', 'Pegawai', 'dr Edy', '811199', 143000, 143000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16101, '68950371', '2004', '16101', '20040310', '20040309', '', 'Pegawai', 'RS Siaga Raya', '811199', 745400, 745400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16102, '70980570', '2004', '16102', '20040310', '20040303', 'Nabil', 'Anak I', 'RS Haji Jakarta', '811199', 279200, 279200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16103, '65920048', '2004', '16103', '20040310', '20040301', '', 'Anak I', 'dr Laily', '811199', 143000, 143000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16104, '68930133', '2004', '16104', '20040310', '20040308', '', 'Pegawai', 'dr Masrin Munir', '811199', 538300, 538300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16105, '17601989', '2004', '16105', '20040310', '20040309', '', 'Pegawai', 'RB Alvernia Agusta', '811199', 73500, 73500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16106, '78990600', '2004', '16106', '20040310', '20040309', '', 'Pegawai', 'Rs Medistra', '811199', 308800, 308800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16107, '64930120', '2004', '16107', '20040310', '20040306', '', 'Anak I', 'RSPI', '811199', 2579370, 1721691, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16108, '64930120', '2004', '16108', '20040310', '20040209', '', 'Pegawai', 'dr ei', '811199', 1201200, 585200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16109, '65970482', '2004', '16109', '20040310', '20040307', '', 'Pegawai', 'dr Bambang', '811199', 63000, 63000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16110, '70950204', '2004', '16110', '20040310', '20040306', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'Bidan Sukamti', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16111, '70970475', '2004', '16111', '20040310', '20040306', '', 'Anak I', 'RS Hermina', '811199', 234000, 234000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16112, '66970473', '2004', '16112', '20040310', '20040306', '', 'Anak I', 'Yay Bina Sehat', '811199', 134500, 134500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16113, '76960435', '2004', '16113', '20040310', '20040308', '', 'Pegawai', 'drg Utami', '811199', 103700, 103700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16114, '69000669', '2004', '16114', '20040310', '20040308', '', 'Anak I', 'RSB Duren Tiga', '811199', 238900, 238900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16115, '68950221', '2004', '16115', '20040310', '20040308', '', 'Anak II', 'RS Hermina', '811199', 136800, 136800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16116, '74950356', '2004', '16116', '20040310', '20040308', '', 'Pegawai', 'dr Suranto', '811199', 343700, 343700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16117, '62950197', '2004', '16117', '20040310', '20031209', 'M.Oktavian Hutama', 'Anak I', 'RS Sarjito', '811199', 602100, 602100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16118, '65920039', '2004', '16118', '20040310', '20040309', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 197073, 197073, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16119, '73000708', '2004', '16119', '20040310', '20040305', '', 'Anak I', 'dr Harry P', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16120, '66950355', '2004', '16120', '20040310', '20040305', '', 'Isteri', 'RS Budi Kemuliaan', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16121, '17300901', '2004', '16121', '20040310', '20040308', '', 'Pegawai', 'RS Hermina', '811199', 776548, 776548, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16122, '60920075', '2004', '16122', '20040310', '20040301', '', 'Anak III', 'dr Rini Teguh', '811199', 377400, 377400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16123, '68000760', '2004', '16123', '20040310', '20040308', 'M. Azry Zulfiqar', 'Anak I', 'dr Eti', '811199', 25000, 25000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16124, '72021050', '2004', '16124', '20040310', '20040218', '', 'Pegawai', 'RS Gatot Subroto', '811199', 66100, 66100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16125, '75980563', '2004', '16125', '20040310', '20040305', '', 'Pegawai', 'RS Hermina', '811199', 908575, 908575, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16126, '67980526', '2004', '16126', '20040310', '20040306', 'Elfitra Desy Surya', 'Isteri', 'RS Harum', '811199', 246950, 246950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16127, '17201001', '2004', '16127', '20040310', '20040306', '', 'Anak I', 'RS Puri Cinere', '811199', 164300, 164300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16128, '70950214', '2004', '16128', '20040310', '20040303', 'Pratiwi Hadi', 'Isteri', 'Klinik Tribata', '811199', 232000, 232000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16129, '16701946', '2004', '16129', '20040310', '20040306', '', 'Anak I', 'dr Suharyono', '811199', 671800, 671800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16130, '16701946', '2004', '16130', '20040310', '20040306', '', 'Anak II', 'dr Suharyono', '811199', 905900, 905900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16131, '69960401', '2004', '16131', '20040310', '20040305', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul M', '811199', 320700, 320700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16132, '70940155', '2004', '16132', '20040310', '20040308', '', 'Anak III', 'dr Bara', '811199', 221000, 221000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16133, '69940161', '2004', '16133', '20040310', '20040228', 'Kalista Adjani', 'Anak II', 'dr H Tin', '811199', 130100, 130100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16134, '75020004', '2004', '16134', '20040310', '20040306', '', 'Isteri', 'drg Budi Susanto', '811199', 326300, 326300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16135, '77021138', '2004', '16135', '20040310', '20040308', '', 'Pegawai', 'drg Elisabeth', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16136, '70960409', '2004', '16136', '20040310', '20040308', '', 'Pegawai', 'RS Bakti Yudha', '811199', 374200, 374200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16137, '71990660', '2004', '16137', '20040310', '20040228', '', 'Anak I', 'dr Tumpal', '811199', 134500, 134500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16138, '65960408', '2004', '16138', '20040310', '20040305', 'Rosmaini', 'Isteri', 'dr Meri', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16139, '17301957', '2004', '16139', '20040310', '20040303', '', 'Isteri', 'dr Asril Dahlan', '811199', 290000, 290000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16140, '65930147', '2004', '16140', '20040310', '20040308', 'Kristina Nursanti', 'Isteri', 'RS Yadika', '811199', 206500, 206500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16141, '78990600', '2004', '16141', '20040310', '20040309', '', 'Pegawai', 'RS Medistra', '811199', 553400, 553400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16142, '17101947', '2004', '16142', '20040310', '20040226', '', 'Isteri', 'RS Duren Tiga', '811199', 342050, 342050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16143, '61920045', '2004', '16143', '20040310', '20040228', 'Sutirma J.Rosalina', 'Isteri', 'RS Tumbuh Kembang', '811199', 132000, 132000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16144, '69950222', '2004', '16144', '20040310', '20040220', '', 'Anak I', 'RSCM', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16145, '62910008', '2004', '16145', '20040310', '20040301', 'Naufal', 'Anak II', 'RSPI', '811199', 332200, 332200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16146, '71960437', '2004', '16146', '20040310', '20040309', 'M. Farhan', 'Anak II', 'Rs Bunda Auni', '811199', 86000, 86000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16147, '76010936', '2004', '16147', '20040316', '20040303', '', 'Pegawai', 'PPPP JRC', '811199', 197000, 197000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16148, '76030008', '2004', '16148', '20040316', '20040308', '', 'Pegawai', 'dr Fuad', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16149, '60930108', '2004', '16149', '20040316', '20040309', '', 'Pegawai', 'dr Harrie C', '811199', 1437000, 1437000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16150, '57930124', '2004', '16150', '20040316', '20040303', '', 'Anak I', 'dr Pudji', '811199', 342200, 342200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16151, '63970464', '2004', '16151', '20040316', '20040310', '', 'Pegawai', 'RS Harapan Kita', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16152, '69021141', '2004', '16152', '20040316', '20040305', '', 'Isteri', 'dr Djoni', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16153, '69000692', '2004', '16153', '20040316', '20040306', 'Kartika', 'Anak II', 'RS Mitra', '811199', 224900, 224900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16154, '66950355', '2004', '16154', '20040316', '20040309', '', 'Isteri', 'RS Budi Kemulian', '811199', 184000, 184000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16155, '79030001', '2004', '16155', '20040316', '20040310', '', 'Pegawai', 'Klinik Dharma Bakti', '811199', 28000, 28000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16156, '60930116', '2004', '16156', '20040316', '20040204', '', 'Anak I', 'RS MMC', '811199', 511500, 511500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16157, '71980540', '2004', '16157', '20040316', '20040310', 'Rasyid Indy Nur Sasongko', 'Anak I', 'dr Kemal', '811199', 676500, 676500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16158, '74950356', '2004', '16158', '20040316', '20040310', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 216600, 216600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16159, '70970475', '2004', '16159', '20040316', '20040310', '', 'Pegawai', 'dr Kim Sudarsono', '811199', 154000, 154000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16160, '63000711', '2004', '16160', '20040316', '20040306', 'Inas Fadillah', 'Anak I', 'dr Soepardi', '811199', 139300, 139300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16161, '66000670A', '2004', '16161', '20040316', '20040309', '', 'Pegawai', 'dr Merry', '811199', 716800, 716800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16162, '61970468', '2004', '16162', '20040316', '20040311', '', 'Pegawai', 'Ladokgi', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16163, '71990599', '2004', '16163', '20040316', '20040311', '', 'Pegawai', 'RS Medistra', '811199', 314300, 314300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16164, '69950162', '2004', '16164', '20040316', '20040309', 'Muhammad Nadhif Judhananto', 'Anak I', 'RSPI', '811199', 213500, 213500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16165, '78031489', '2004', '16165', '20040316', '20040301', '', 'Pegawai', 'dr H Mansyurman', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16166, '64970460', '2004', '16166', '20040316', '20040310', '', 'Anak I', 'RS Yadika', '811199', 249000, 249000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16167, '66970463', '2004', '16167', '20040316', '20040310', '', 'Pegawai', 'drg esnyoto', '811199', 119300, 119300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16168, '66920026', '2004', '16168', '20040316', '20040309', '', 'Anak III', 'Aptk Moerti', '811199', 127500, 127500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16169, '63950190', '2004', '16169', '20040316', '20040310', '', 'Anak I', 'drg Narcelia', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16170, '65980552', '2004', '16170', '20040316', '20040312', 'Harun Al Rasyid', 'Anak I', 'dr Soekarno', '811199', 143100, 143100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16171, '65980552', '2004', '16171', '20040316', '20040308', 'Harun Al Rasyid', 'Anak I', 'dr Budi Yudono', '811199', 209500, 209500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16172, '70000791', '2004', '16172', '20040316', '20040313', '', 'Pegawai', 'dr Gayatri', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16173, '65000730', '2004', '16173', '20040316', '20040309', 'Rini Mayasari S', 'Isteri', 'RS Baromeus', '811199', 149500, 149500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16174, '66990584', '2004', '16174', '20040316', '20040313', 'Andi Ernawati SE', 'Isteri', 'RS Bunda', '811199', 321000, 321000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16175, '76960435', '2004', '16175', '20040316', '20040313', '', 'Isteri', 'RS Siloam', '811199', 226294, 226294, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16176, '75010905', '2004', '16176', '20040316', '20040312', '', 'Pegawai', 'drg Koesmanto', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16177, '57930146', '2004', '16177', '20040316', '20040312', '', 'Pegawai', 'drg Elisabeth IS', '811199', 945000, 945000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16178, '70930144', '2004', '16178', '20040316', '20040313', '', 'Pegawai', 'dr Sawitri', '811199', 619000, 619000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16179, '63970478', '2004', '16179', '20040316', '20040310', '', 'Pegawai', 'dr Bernhard', '811199', 65100, 65100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16180, '61970468', '2004', '16180', '20040316', '20040313', '', 'Anak I', 'RSAB Budhi Jaya', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16181, '68950221', '2004', '16181', '20040316', '20040315', '', 'Anak II', 'RS Hermina', '811199', 153600, 153600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16182, '78000693', '2004', '16182', '20040316', '20040311', '', 'Pegawai', 'dr Yulianti', '811199', 93300, 93300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16183, '71990660', '2004', '16183', '20040316', '20040308', '', 'Pegawai', 'dr Farida', '811199', 179500, 179500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16184, '68950174', '2004', '16184', '20040316', '20040310', '', 'Pegawai', 'drg Anna Sari', '811199', 291000, 291000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16185, '17101947', '2004', '16185', '20040316', '20040301', '', 'Isteri', 'RS Mitra', '811199', 414150, 414150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16186, '5540008', '2004', '16186', '20040316', '20040309', '', 'Anak III', 'RS Pondok  Indah', '811199', 326900, 326900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16187, '68950341', '2004', '16187', '20040316', '20040315', '', 'Anak I', 'Klinik Kemanggisan', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16188, '73970451', '2004', '16188', '20040316', '20040313', '', 'Pegawai', 'drg Mitayani', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16189, '62910013', '2004', '16189', '20040316', '20040315', '', 'Anak I', 'dr Zaenal', '811199', 189400, 189400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16190, '65930143', '2004', '16190', '20040316', '20040306', 'Panji Bagas Dwiprakoso', 'Anak I', 'RS Puri Cinere', '811199', 350300, 350300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16191, '74031496', '2004', '16191', '20040316', '20040311', '', 'Pegawai', 'RS Cikini', '811199', 412700, 412700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16192, '80021417', '2004', '16192', '20040316', '20040311', '', 'Pegawai', 'Aptk Senopati', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16193, '5540008', '2004', '16193', '20040316', '20040311', '', 'Anak III', 'RS Pondok Indah', '811199', 27756, 27756, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16194, '17201001', '2004', '16194', '20040316', '20040313', '', 'Isteri', 'RS Harapan Bunda', '811199', 334500, 334500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16195, '77011017', '2004', '16195', '20040316', '20040309', '', 'Pegawai', 'RS Siaga Raya', '811199', 1686500, 1686500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16196, '16900803', '2004', '16196', '20040316', '20040313', '', 'Isteri', 'RS Mitra Internasional', '811199', 196100, 196100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16197, '58021106', '2004', '16197', '20040316', '20040309', 'Dhannang', 'Anak I', 'dr Thomas Widodo', '811199', 277050, 277050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16198, '67930149', '2004', '16198', '20040316', '20040210', '', 'Pegawai', 'Aptk Medistra', '811199', 288000, 254900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16199, '16801865', '2004', '16199', '20040316', '20040309', 'Sulami A.', 'Isteri', 'dr Roni S', '811199', 107500, 107500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16200, '73010858', '2004', '16200', '20040316', '20040311', '', 'Anak I', 'RS Mitra', '811199', 137000, 137000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16201, '70031507', '2004', '16201', '20040316', '20040313', '', 'Pegawai', 'RS Saint Carol', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16202, '65920033', '2004', '16202', '20040316', '20040312', 'Eti Karyati', 'Isteri', 'dr Suharni', '811199', 196600, 196600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16203, '60920041', '2004', '16203', '20040316', '20040310', 'Panji Ksatria Wisesa', 'Anak I', 'RS Mitra Kemayoran', '811199', 932400, 932400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16204, '63950190', '2004', '16204', '20040316', '20040312', '', 'Anak I', 'RSIA Permata', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16205, '77000672', '2004', '16205', '20040316', '20040305', '', 'Pegawai', 'RS Siloam', '811199', 544122, 544122, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16206, '74000715', '2004', '16206', '20040316', '20040309', '', 'Pegawai', 'RS Tria Dipa', '811199', 285000, 285000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16207, '57930113', '2004', '16207', '20040316', '20040212', 'Anggraini Rahayu Widyanti', 'Anak I', 'RSPI', '811199', 421056, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16208, '64980559', '2004', '16208', '20040316', '20040219', 'Virtiany Pradawani', 'Anak I', 'dr Tinawati', '811199', 560000, 560000, NULL, NULL, 'A', 'medical')



INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16209, '75980563', '2004', '16209', '20040316', '20040312', 'Alia Hanifah', 'Isteri', 'RS Hermina', '811199', 69000, 69000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16210, '79030001', '2004', '16210', '20040316', '20040312', '', 'Pegawai', 'Kamila Medika', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16211, '69960396', '2004', '16211', '20040316', '20040311', 'Dhiwi Susanti', 'Isteri', 'RS Puri Medika', '811199', 122000, 122000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16212, '71011018', '2004', '16212', '20040316', '20040308', '', 'Anak I', 'RS Hermina', '811199', 94458, 94458, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16213, '63970483', '2004', '16213', '20040316', '20040306', '', 'Anak I', 'Aptk Cipanas', '811199', 127000, 127000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16214, '77021138', '2004', '16214', '20040316', '20040310', '', 'Pegawai', 'drg Elisabeth', '811199', 265000, 265000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16215, '69970477', '2004', '16215', '20040316', '20040313', '', 'Anak I', 'RS Cileungsi', '811199', 304250, 304250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16216, '72000696', '2004', '16216', '20040316', '20040312', '', 'Anak I', 'RSIA Hermina', '811199', 497870, 497870, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16217, '59021080', '2004', '16217', '20040316', '20040309', '', 'Isteri', 'RS Hermina', '811199', 124790, 124790, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16218, '51980512', '2004', '16218', '20040316', '20040303', 'Dra.Budhiarti', 'Isteri', 'RS PGI Cikini', '811199', 802950, 802950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16219, '79021076', '2004', '16219', '20040316', '20040312', '', 'Pegawai', 'dr Budhy', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16220, '65960348', '2004', '16220', '20040316', '20040312', '', 'Pegawai', 'RS Medistra', '811199', 363600, 363600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16221, '76021236', '2004', '16221', '20040316', '20040312', '', 'Pegawai', 'dr Hermanto', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16222, '67940157', '2004', '16222', '20040316', '20040308', '', 'Anak I', 'dr Husein Alatas', '811199', 306400, 306400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16223, '63920052', '2004', '16223', '20040316', '20040310', '', 'Pegawai', 'Aptk Joglo', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16224, '69950222', '2004', '16224', '20040316', '20040310', '', 'Pegawai', 'drg Suryaputra', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16225, '71980506', '2004', '16225', '20040316', '20040312', '', 'Pegawai', 'dr E Merry', '811199', 186900, 186900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16226, '70000717', '2004', '16226', '20040316', '20040306', '', 'Pegawai', 'JEC', '811199', 241500, 241500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16227, '79042172', '2004', '16227', '20040316', '20040315', '', 'Isteri', 'RSB Duren Tiga', '811199', 1153500, 1153500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16228, '77042155', '2004', '16228', '20040316', '20040313', '', 'Pegawai', 'dr AM Ria Kusuma', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16229, '00030010', '2004', '16229', '20040310', '20040225', '', 'Isteri', 'RS Hermina', '811199', 1132104, 1132104, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16230, '66920063', '2004', '16230', '20040310', '20040301', '', 'Pegawai', 'dr Toto', '811199', 236500, 236500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16231, '6311206867', '2004', '16231', '20040316', '20040118', '', 'Pegawai', 'dr Poernomo', '811199', 180000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16232, '70000684', '2004', '16232', '20040319', '20040303', '', 'Anak I', 'dr Gatami SpA', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16233, '57980555', '2004', '16233', '20040319', '20040216', 'Enggar Parastri', 'Anak III', 'drg Reni', '811199', 100000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16234, '17501981', '2004', '16234', '20040319', '20040311', '', 'Pegawai', 'RS Saint Carolus', '811199', 281000, 281000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16235, '63950190', '2004', '16235', '20040319', '20040315', '', 'Pegawai', 'Klinik Artha Sari', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16236, '70950370', '2004', '16236', '20040319', '20040309', '', 'Anak I', 'dr Jp Aulia', '811199', 123500, 123500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16237, '70000791', '2004', '16237', '20040319', '20040315', 'Safarina', 'Isteri', 'dr Budi', '811199', 136500, 136500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16238, '74031438', '2004', '16238', '20040319', '20040304', '', 'Anak I', 'RSAB Harapan Kita', '811199', 386000, 386000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16239, '74950226', '2004', '16239', '20040319', '20040316', 'Sheza M. A.', 'Anak II', 'dr Gunawan', '811199', 216000, 216000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16240, '67920054', '2004', '16240', '20040319', '20040315', 'Tamam Ibrahim Satrio', 'Anak I', 'RSCM', '811199', 327300, 327300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16241, '69960396', '2004', '16241', '20040319', '20040316', 'Dhiwi Susanti', 'Isteri', 'dr Dwi Retno', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16242, '77021138', '2004', '16242', '20040319', '20040316', '', 'Pegawai', 'drg Elisabeth', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16243, '17601989', '2004', '16243', '20040319', '20040316', '', 'Pegawai', 'RB Alvernia Austa', '811199', 146500, 146500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16244, '67950172', '2004', '16244', '20040319', '20040316', '', 'Pegawai', 'RS Medistra', '811199', 497000, 497000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16245, '61970468', '2004', '16245', '20040319', '20040318', '', 'Pegawai', 'Ladokgi', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16246, '76030008', '2004', '16246', '20040319', '20040309', '', 'Anak I', 'dr Soerachmo', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16247, '68960412', '2004', '16247', '20040319', '20040309', 'Lily April Juliana Simanjuntak', 'Isteri', 'dr Jeanne', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16248, '66980545', '2004', '16248', '20040319', '20040318', '', 'Pegawai', 'RS Medistra', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16249, '68000752', '2004', '16249', '20040319', '20040317', 'Harits Sudarsono M', 'Anak I', 'Aptk Aji Waras', '811199', 416500, 416500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16250, '68000709', '2004', '16250', '20040319', '20040313', '', 'Isteri', 'RS Hermina', '811199', 190500, 190500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16251, '63920052', '2004', '16251', '20040319', '20040316', '', 'Pegawai', 'Klinik Permata', '811199', 636700, 636700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16252, '68021214', '2004', '16252', '20040319', '20040318', '', 'Pegawai', 'Aptk Satiti', '811199', 135200, 135200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16253, '70950214', '2004', '16253', '20040319', '20040316', '', 'Anak I', 'RS Int,l Bintaro', '811199', 633410, 633410, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16254, '68920053', '2004', '16254', '20040319', '20040315', 'Syahida Nurrahmah', 'Anak II', 'Aptk Gulera', '811199', 77000, 77000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16255, '64950184', '2004', '16255', '20040319', '20040226', 'Annisaa Sharinka Chandrawasih', 'Anak II', 'RS Puri Cinere', '811199', 1115000, 1115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16256, '70980554', '2004', '16256', '20040319', '20040313', '', 'Pegawai', 'RS Kramat 128', '811199', 171000, 171000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16257, '75031490', '2004', '16257', '20040319', '20040316', '', 'Pegawai', 'RS Kebayoran', '811199', 129000, 129000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16258, '66920029', '2004', '16258', '20040319', '20040308', 'Putri Java Islami Yuntoharjo', 'Anak II', 'RS Int,l Bintaro', '811199', 642718, 642718, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16259, '17101947', '2004', '16259', '20040319', '20040305', '', 'Pegawai', 'RSB Duren Tiga', '811199', 225850, 225850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16260, '61930128', '2004', '16260', '20040319', '20040316', '', 'Pegawai', 'RSPI', '811199', 714600, 714600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16261, '67940157', '2004', '16261', '20040319', '20040316', '', 'Anak I', 'dr Husein Alatas', '811199', 206900, 206900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16262, '75980563', '2004', '16262', '20040319', '20040316', 'Alia Hanifah', 'Isteri', 'RS Hermina', '811199', 104925, 104925, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16263, '74990578', '2004', '16263', '20040319', '20040315', '', 'Pegawai', 'JMC', '811199', 223400, 223400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16264, '69960413', '2004', '16264', '20040319', '20040315', '', 'Pegawai', 'RS Tria Dipa', '811199', 207000, 207000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16265, '66920106', '2004', '16265', '20040319', '20040316', 'Fitriani', 'Isteri', 'dr Yati Zarnudji', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16266, '63970464', '2004', '16266', '20040319', '20040317', '', 'Pegawai', 'Ladokgi', '811199', 20000, 20000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16267, '76970457', '2004', '16267', '20040319', '20040315', '', 'Pegawai', 'drg Tri S', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16268, '67950213', '2004', '16268', '20040319', '20040315', '', 'Pegawai', 'Klinik Mitra', '811199', 142000, 142000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16269, '17501895', '2004', '16269', '20040319', '20040317', '', 'Anak I', 'RS Medika Sampurna', '811199', 185900, 185900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16270, '64960402', '2004', '16270', '20040319', '20040315', '', 'Pegawai', 'dr Bambang', '811199', 179000, 179000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16271, '64960402', '2004', '16271', '20040319', '20040317', '', 'Pegawai', 'Klinik Permata', '811199', 370000, 370000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16272, '71950200', '2004', '16272', '20040319', '20040317', '', 'Anak I', 'dr Erik', '811199', 669200, 669200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16273, '72031488', '2004', '16273', '20040319', '20040308', '', 'Pegawai', 'Aptk Guardian', '811199', 245195, 245195, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16274, '71960389', '2004', '16274', '20040319', '20040315', '', 'Pegawai', 'RS Mitra Int,l', '811199', 136000, 136000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16275, '70920034', '2004', '16275', '20040319', '20040316', '', 'Pegawai', 'RS Mitra', '811199', 189700, 189700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16276, '69970477', '2004', '16276', '20040319', '20040316', '', 'Anak I', 'RSIA Permata', '811199', 166800, 166800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16277, '72000703', '2004', '16277', '20040319', '20040313', '', 'Pegawai', 'Century', '811199', 248100, 248100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16278, '76021132', '2004', '16278', '20040319', '20040312', '', 'Anak I', 'RS Mintoharjo', '811199', 526300, 526300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16279, '74000702', '2004', '16279', '20040319', '20040315', '', 'Pegawai', 'RS Mitra Int,l', '811199', 263400, 263400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16280, '64010984', '2004', '16280', '20040319', '20040314', '', 'Anak I', 'dr Budi Y', '811199', 605800, 605800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16281, '69960396', '2004', '16281', '20040325', '20040321', '', 'Anak I', 'RS Puri Medika', '811199', 124000, 124000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16282, '77011035', '2004', '16282', '20040325', '20040323', '', 'Pegawai', 'dr Erni', '811199', 74500, 74500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16283, '72099654', '2004', '16283', '20040325', '20040321', '', 'Isteri', 'Klinik JMC', '811199', 208300, 208300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16284, '72000772', '2004', '16284', '20040325', '20040323', '', 'Isteri', 'dr Rina', '811199', 204500, 204500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16285, '66970463', '2004', '16285', '20040325', '20040317', '', 'Pegawai', 'RSAB Harapan Kita', '811199', 230000, 230000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16286, '79042172', '2004', '16286', '20040325', '20040318', '', 'Isteri', 'Aptk Farma Gama', '811199', 60200, 60200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16287, '65010987', '2004', '16287', '20040325', '20040317', '', 'Anak I', 'dr TB Bagdadiji', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16288, '77021433', '2004', '16288', '20040325', '20040316', '', 'Anak I', 'dr Haji Umi Barkah', '811199', 287210, 287210, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16289, '67920049', '2004', '16289', '20040325', '20040316', '', 'Pegawai', 'RS Trimitra', '811199', 257000, 257000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16290, '67990636', '2004', '16290', '20040325', '20040323', 'Ria Maria', 'Isteri', 'RS Mitra Keluarga', '811199', 452500, 452500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16291, '76980517', '2004', '16291', '20040325', '20040316', 'Fathya A.W.', 'Anak I', 'RS Prima Husada', '811199', 353600, 353600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16292, '66920029', '2004', '16292', '20040325', '20040319', 'Rian Rahman Yuntoharjo', 'Anak I', 'RS Int,l Bintaro', '811199', 287466, 287466, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16293, '62910013', '2004', '16293', '20040323', '20040320', '', 'Anak I', 'dr Azwir', '811199', 203500, 203500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16294, '71980506', '2004', '16294', '20040325', '20040319', '', 'Pegawai', 'dr Nugroho K', '811199', 321100, 321100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16295, '68930133', '2004', '16295', '20040325', '20040318', '', 'Pegawai', 'dr Benny', '811199', 97000, 97000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16296, '16801865', '2004', '16296', '20040325', '20040322', '', 'Anak I', 'dr Yunny', '811199', 166500, 166500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16297, '64920046', '2004', '16297', '20040325', '20040320', 'Aisyah Aprilea', 'Anak II', 'Klinik Difa Medika', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16298, '64920046', '2004', '16298', '20040325', '20040317', 'Moch.Prahastomi', 'Anak I', 'dr Aris S', '811199', 84500, 84500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16299, '72950205', '2004', '16299', '20040325', '20040320', 'Rizqullah Ishaq', 'Anak I', 'RS Tumbuh Kembang', '811199', 84500, 84500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16300, '78990600', '2004', '16300', '20040325', '20040322', '', 'Pegawai', 'RSPAD Gatot Subroto', '811199', 351000, 351000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16301, '75021078', '2004', '16301', '20040325', '20040308', '', 'Pegawai', 'dr Erry Komaruddin', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16302, '68970466', '2004', '16302', '20040325', '20040320', '', 'Pegawai', 'RS Hermina', '811199', 118500, 118500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16303, '67940157', '2004', '16303', '20040325', '20040318', '', 'Anak I', 'dr Husein Alatas', '811199', 244400, 244400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16304, '59950195', '2004', '16304', '20040325', '20040313', 'Lisbet Morliner', 'Isteri', 'dr Gunawan', '811199', 712300, 712300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16305, '64950185', '2004', '16305', '20040325', '20040312', '', 'Isteri', 'RS Puri Cinere', '811199', 358200, 358200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16306, '5540008', '2004', '16306', '20040325', '20040318', 'Adhika Paramarta Sajjana', 'Anak I', 'lab prodia', '811199', 383400, 383400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16307, '73960391', '2004', '16307', '20040325', '20040313', 'Reynard', 'Anak I', 'RS Hermina', '811199', 418245, 418245, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16308, '63990637', '2004', '16308', '20040325', '20040318', 'Aulia Rahman', 'Anak II', 'RS Sejahtera', '811199', 447500, 447500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16309, '77021138', '2004', '16309', '20040325', '20040318', '', 'Pegawai', 'dr Sun Aryanto', '811199', 113000, 113000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16310, '66970473', '2004', '16310', '20040325', '20040319', '', 'Pegawai', 'Yay Bina Sehat', '811199', 62000, 62000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16311, '73021081', '2004', '16311', '20040325', '20040319', '', 'Anak I', 'RS Hermina', '811199', 334683, 334683, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16312, '73970451', '2004', '16312', '20040325', '20040323', '', 'Pegawai', 'drg Mitayani', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16313, '69950222', '2004', '16313', '20040325', '20040317', '', 'Pegawai', 'drg Suryaputra', '811199', 216300, 216300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16314, '16801865', '2004', '16314', '20040325', '20040324', 'Sulami A.', 'Isteri', 'dr Abdul Muslim', '811199', 687900, 687900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16315, '68000752', '2004', '16315', '20040325', '20040320', 'Harits Sudarsono M', 'Anak I', 'Aptk Aji Waras', '811199', 167300, 167300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16316, '81031505', '2004', '16316', '20040325', '20040319', '', 'Pegawai', 'dr Agus', '811199', 225900, 225900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16317, '69021141', '2004', '16317', '20040325', '20040313', '', 'Isteri', 'dr Djoni', '811199', 177000, 177000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16318, '16900803', '2004', '16318', '20040325', '20040320', '', 'Isteri', 'RS Mitra International', '811199', 360500, 360500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16319, '65980564', '2004', '16319', '20040325', '20040314', 'Bagas Juwono Priambodo', 'Anak II', 'RS Hermina', '811199', 250766, 250766, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16320, '79010894', '2004', '16320', '20040325', '20040309', '', 'Pegawai', 'dr Nunung', '811199', 241900, 241900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16321, '61930128', '2004', '16321', '20040325', '20040321', 'R. Raditya M.L', 'Anak I', 'Klinik Mitra', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16322, '71980540', '2004', '16322', '20040325', '20040318', '', 'Pegawai', 'Aptk Kurnia', '811199', 227000, 227000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16323, '64930110', '2004', '16323', '20040325', '20040318', '', 'Isteri', 'Klinik Mata Mayestik', '811199', 215700, 215700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16324, '70950204', '2004', '16324', '20040325', '20040322', 'Rustini', 'Isteri', 'Bidan Sukamti', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16325, '71970456', '2004', '16325', '20040325', '20040323', '', 'Pegawai', 'dr Nugroho', '811199', 770400, 770400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16326, '60980529', '2004', '16326', '20040325', '20040314', 'Ani Novia', 'Anak I', 'RS Haji', '811199', 528045, 528045, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16327, '64970465', '2004', '16327', '20040325', '20040321', '', 'Pegawai', 'JMC', '811199', 142500, 142500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16328, '70970480', '2004', '16328', '20040325', '20040322', '', 'Pegawai', 'Tasha Sehat', '811199', 46200, 46200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16329, '16701946', '2004', '16329', '20040325', '20040322', '', 'Anak I', 'RS Harapan KIta', '811199', 162000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16330, '65930143', '2004', '16330', '20040325', '20040323', 'Wiandra Bagus Wicaksono', 'Anak II', 'dr Subiakto', '811199', 300500, 300500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16331, '65930143', '2004', '16331', '20040330', '20040326', 'Panji Bagas Dwiprakoso', 'Anak I', 'Aptk Cinere Mas', '811199', 539200, 539200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16332, '60970474', '2004', '16332', '20040325', '20040324', '', 'Pegawai', 'dr Heryuni', '811199', 511200, 511200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16333, '63970478', '2004', '16333', '20040325', '20040324', '', 'Pegawai', 'dr Bernhard', '811199', 53900, 53900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16334, '72980510', '2004', '16334', '20040325', '20040324', '', 'Pegawai', 'dr Jubianto', '811199', 305400, 305400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16335, '72980510', '2004', '16335', '20040325', '20040324', 'M. Nur Muhriza', 'Anak I', 'RS Thamrin', '811199', 461000, 461000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16336, '67950203', '2004', '16336', '20040325', '20040324', 'Rifqi Nabil Muhammad', 'Anak I', 'Klinik Raifa', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16337, '74042240', '2004', '16337', '20040325', '20040323', '', 'Pegawai', 'dr Pro', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16338, '61920045', '2004', '16338', '20040325', '20040318', 'Sutirma J.Rosalina', 'Isteri', 'RS Tumbuh Kembang', '811199', 337000, 337000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16339, '66920035', '2004', '16339', '20040325', '20040224', '', 'Pegawai', 'RS Pelni Petamburan', '811199', 1782627, 1632627, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16340, '75031504', '2004', '16340', '20040325', '20040315', '', 'Pegawai', 'dr Sulastri', '811199', 140600, 140600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16341, '73042189', '2004', '16341', '20040325', '20040313', '', 'Isteri', 'dr Purnomo', '811199', 183000, 183000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16342, '16900803', '2004', '16342', '20040325', '20040317', '', 'Isteri', 'RS Bunda', '811199', 897500, 897500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16343, '76011015', '2004', '16343', '20040330', '20040323', '', 'Pegawai', 'RS Bunda', '811199', 622800, 622800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16344, '69960413', '2004', '16344', '20040330', '20040324', '', 'Pegawai', 'dr Komariah', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16345, '71011018', '2004', '16345', '20040330', '20040324', '', 'Isteri', 'RS Hermina', '811199', 574900, 574900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16346, '27400906', '2004', '16346', '20040330', '20040315', '', 'Pegawai', 'Aptk Dea', '811199', 560100, 560100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16347, '67970470', '2004', '16347', '20040330', '20040325', '', 'Pegawai', 'RS Bina Husada', '811199', 178200, 178200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16348, '69970477', '2004', '16348', '20040330', '20040318', '', 'Anak I', 'RSIA Permata', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16349, '81032119', '2004', '16349', '20040330', '20040325', '', 'Pegawai', 'dr Supranoto', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16350, '76960435', '2004', '16350', '20040330', '20040327', '', 'Isteri', 'RS Siloam', '811199', 245000, 245000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16351, '70031507', '2004', '16351', '20040330', '20040319', '', 'Anak I', 'dr H Koesprapto', '811199', 131500, 131500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16352, '66990584', '2004', '16352', '20040330', '20040325', 'Andi Firyal', 'Anak II', 'RSCM', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16353, '69000669', '2004', '16353', '20040330', '20040320', '', 'Anak I', 'RS Tria Dipa', '811199', 128000, 128000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16354, '17702001', '2004', '16354', '20040330', '20040327', '', 'Pegawai', 'JMC', '811199', 610400, 610400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16355, '74990649', '2004', '16355', '20040330', '20040324', '', 'Pegawai', 'dr Yanuar', '811199', 210800, 210800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16356, '68000760', '2004', '16356', '20040330', '20040322', 'Athifah Hanani', 'Anak II', 'dr Eti', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16357, '70950231', '2004', '16357', '20040330', '20040324', '', 'Pegawai', 'dr Rani Novian', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16358, '69960401', '2004', '16358', '20040330', '20040326', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul M', '811199', 215300, 215300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16359, '70970480', '2004', '16359', '20040330', '20040326', '', 'Pegawai', 'RSB YPK', '811199', 429000, 429000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16360, '67940157', '2004', '16360', '20040330', '20040323', '', 'Pegawai', 'RS Medistra', '811199', 597800, 597800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16361, '16801896', '2004', '16361', '20040330', '20040327', '', 'Pegawai', 'dr Adnan', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16362, '61920069', '2004', '16362', '20040330', '20040225', '', 'Pegawai', 'Kimia Farma', '811199', 698200, 670900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16363, '77000672', '2004', '16363', '20040330', '20040325', '', 'Pegawai', 'RS Siloam', '811199', 304265, 304265, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16364, '67950203', '2004', '16364', '20040330', '20040326', 'Yuli Sumirah', 'Isteri', 'Klinik Syarif', '811199', 668700, 668700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16365, '63970483', '2004', '16365', '20040330', '20040325', 'Eli', 'Isteri', 'dr Yulianto', '811199', 497000, 497000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16366, '63910010', '2004', '16366', '20040330', '20040327', 'Sindy Fadhilah Nasution', 'Anak II', 'dr Sri Supartina', '811199', 163000, 163000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16367, '60950218', '2004', '16367', '20040330', '20040327', '', 'Anak I', 'RS OMC', '811199', 225400, 225400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16368, '64010984', '2004', '16368', '20040330', '20040325', '', 'Anak I', 'dr Fajar', '811199', 106500, 106500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16369, '65950169', '2004', '16369', '20040330', '20040301', '', 'Pegawai', 'RS Puri Cinere', '811199', 237400, 237400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16370, '60920075', '2004', '16370', '20040330', '20040318', '', 'Anak III', 'dr Tadjudin', '811199', 560100, 560100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16371, '75031490', '2004', '16371', '20040330', '20040329', '', 'Pegawai', 'dr Boyke', '811199', 809100, 809100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16372, '74011037', '2004', '16372', '20040330', '20040329', '', 'Pegawai', 'dr Ronny', '811199', 222800, 222800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16373, '75980563', '2004', '16373', '20040330', '20040323', '', 'Anak I', 'RS Hermina', '811199', 121000, 121000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16374, '63950202', '2004', '16374', '20040330', '20040325', '', 'Anak II', 'dr Setyowati', '811199', 789900, 789900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16375, '66950355', '2004', '16375', '20040330', '20040323', '', 'Isteri', 'RS Budi Kemuliaan', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16376, '77011017', '2004', '16376', '20040330', '20040326', '', 'Pegawai', 'dr Rani Novian', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16377, '68000752', '2004', '16377', '20040330', '20040327', '', 'Anak II', 'Aptk Aji Waras', '811199', 293600, 293600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16378, '71980506', '2004', '16378', '20040330', '20040326', '', 'Pegawai', 'dr Nugroho K', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16379, '71980506', '2004', '16379', '20040330', '20040329', '', 'Pegawai', 'dr Nugroho K', '811199', 3299038, 1773600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16380, '70960377', '2004', '16380', '20040330', '20040301', '', 'Pegawai', 'RS Medistra', '811199', 305000, 305000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16381, '59950195', '2004', '16381', '20040330', '20040328', '', 'Anak I', 'dr Gunawan', '811199', 582000, 582000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16382, '81031469', '2004', '16382', '20040330', '20040326', '', 'Pegawai', 'dr Erwin', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16383, '17301957', '2004', '16383', '20040330', '20040317', '', 'Isteri', 'RS Hermina', '811199', 213650, 213650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16384, '17699665', '2004', '16384', '20040330', '20040324', '', 'Isteri', 'RS Medistra', '811199', 161400, 161400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16385, '65950169', '2004', '16385', '20040330', '20040315', '', 'Pegawai', 'dr H Moeslichan', '811199', 594900, 594900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16386, '64930120', '2004', '16386', '20040330', '20040310', '', 'Anak I', 'RSPI', '811199', 857679, 857679, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16387, '70950204', '2004', '16387', '20040330', '20040329', 'Rustini', 'Isteri', 'Bidan Sukamti', '811199', 132000, 132000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16388, '57930124', '2004', '16388', '20040330', '20040322', '', 'Pegawai', 'RS Medistra', '811199', 494806, 494806, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16389, '72980515', '2004', '16389', '20040330', '20040324', '', 'Anak I', 'RS Hermina', '811199', 345650, 187200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16390, '65930147', '2004', '16390', '20040330', '20040325', 'Kristina Nursanti', 'Isteri', 'RS Yadika', '811199', 359500, 359500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16391, '66950191', '2004', '16391', '20040330', '20040308', '', 'Anak I', 'dr Harly', '811199', 233555, 233555, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16392, '68950341', '2004', '16392', '20040330', '20040325', 'Tri Kuswanti', 'Isteri', 'RS IKKT', '811199', 68550, 68550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16393, '79030001', '2004', '16393', '20040330', '20040323', '', 'Pegawai', 'drg Mega', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16394, '78021046', '2004', '16394', '20040330', '20040324', '', 'Pegawai', 'Poliklinik Mekar', '811199', 56000, 56000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16395, '69032076', '2004', '16395', '20040330', '20040319', '', 'Pegawai', 'drg Junita', '811199', 275000, 275000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16396, '57980555', '2004', '16396', '20040330', '20040310', 'Rusmiati', 'Isteri', 'RSCM', '811199', 1304900, 1304900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16397, '69032076', '2004', '16397', '20040330', '20040125', '', 'Pegawai', 'Bidan Helmi', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16398, '69032076', '2004', '16398', '20040217', '20031029', '', 'Isteri', 'Bidan Helmi', '811199', 890000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16399, '63990637', '2004', '16399', '20040406', '20040325', 'Imaduddin A.R', 'Anak I', 'dr Sumardi', '811199', 112500, 112500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16400, '68950221', '2004', '16400', '20040406', '20040328', '', 'Pegawai', 'drg Srisulaswati', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16401, '65970482', '2004', '16401', '20040406', '20040330', '', 'Pegawai', 'dr Bambang', '811199', 58000, 58000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16402, '76021258', '2004', '16402', '20040406', '20040328', '', 'Pegawai', 'RS Hermina', '811199', 153900, 153900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16403, '70980570', '2004', '16403', '20040406', '20040327', 'Eer', 'Isteri', 'RS Haji Jakarta', '811199', 123300, 123300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16404, '75021078', '2004', '16404', '20040406', '20040328', '', 'Pegawai', 'dr Erry Komaruddin', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16405, '66950220', '2004', '16405', '20040406', '20040225', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 150000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16406, '64950185', '2004', '16406', '20040406', '20040329', '', 'Anak I', 'dr H Nana K', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16407, '62920050', '2004', '16407', '20040406', '20040310', 'Teti Auliya A', 'Isteri', 'dr Leopold', '811199', 293600, 293600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16408, '52030005', '2004', '16408', '20040406', '20040401', '', 'Anak I', 'dr Jahja', '811199', 277400, 277400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16409, '68000709', '2004', '16409', '20040406', '20040328', '', 'Isteri', 'dr Yenni', '811199', 537000, 537000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16410, '57930113', '2004', '16410', '20040406', '20040327', 'Anggraini Rahayu Widyanti', 'Anak I', 'drg Hendyanti', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16411, '79021076', '2004', '16411', '20040406', '20040331', '', 'Pegawai', 'Aptk Palafarma', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16412, '76030008', '2004', '16412', '20040406', '20040323', '', 'Anak I', 'dr Soerachmo', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16413, '66920106', '2004', '16413', '20040406', '20040401', '', 'Anak I', 'BK Bakti Sejahtera', '811199', 265000, 265000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16414, '65960408', '2004', '16414', '20040406', '20040309', 'Rosmaini', 'Isteri', 'dr Meri', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16415, '70950214', '2004', '16415', '20040406', '20040330', 'Pratiwi Hadi', 'Isteri', 'dr Dawam', '811199', 467057, 467057, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16416, '77032118', '2004', '16416', '20040406', '20040328', '', 'Pegawai', 'RS Agung', '811199', 59000, 59000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16417, '68930133', '2004', '16417', '20040406', '20040327', '', 'Pegawai', 'dr Rosana', '811199', 155000, 155000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16418, '75020001', '2004', '16418', '20040406', '20040402', '', 'Pegawai', 'Balai Ebenhazer', '811199', 52500, 52500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16419, '72000772', '2004', '16419', '20040406', '20040308', '', 'Isteri', 'Aptk Kramat Jati', '811199', 83300, 83300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16420, '66920067', '2004', '16420', '20040406', '20040401', 'Deny Waty Djaafar', 'Isteri', 'dr Frans Putuhena', '811199', 776400, 776400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16421, '64950171', '2004', '16421', '20040406', '20040316', '', 'Pegawai', 'Aptk Palmeriam', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16422, '67960411', '2004', '16422', '20040406', '20040328', '', 'Pegawai', 'RS Pondok Indah', '811199', 799412, 799412, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16423, '77000793', '2004', '16423', '20040406', '20040329', '', 'Pegawai', 'Poliklinik Sigra Husada', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16424, '68920057', '2004', '16424', '20040406', '20040323', '', 'Isteri', 'RS Puri Cinere', '811199', 428400, 428400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16425, '67920089', '2004', '16425', '20040406', '20040326', '', 'Pegawai', 'dr Hasan', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16426, '70000961', '2004', '16426', '20040406', '20040327', '', 'Pegawai', 'RS MH Thamrin', '811199', 143600, 143600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16427, '62950197', '2004', '16427', '20040406', '20040329', 'M.Oktavian Hutama', 'Anak I', 'RS Sarjito', '811199', 572000, 572000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16428, '69940161', '2004', '16428', '20040406', '20040329', 'Ratnadya Thurfa', 'Anak I', 'dr H Tin', '811199', 266800, 266800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16429, '69980544', '2004', '16429', '20040406', '20040327', 'Ramadhani Malik Abdillah', 'Anak I', 'RS Hermina', '811199', 637750, 637750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16430, '63920047', '2004', '16430', '20040406', '20040320', '', 'Isteri', 'dr Limandibrata', '811199', 323000, 323000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16431, '70950183', '2004', '16431', '20040406', '20040329', '', 'Pegawai', 'dr Riswandi', '811199', 240620, 240620, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16432, '77011035', '2004', '16432', '20040406', '20040327', '', 'Pegawai', 'dr Erni', '811199', 205000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16433, '69960396', '2004', '16433', '20040406', '20040329', '', 'Anak I', 'RS Puri Medika', '811199', 208000, 208000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16434, '17201001', '2004', '16434', '20040406', '20040327', '', 'Anak I', 'RS Harapan Bunda', '811199', 261500, 261500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16435, '65920048', '2004', '16435', '20040406', '20040327', '', 'Isteri', 'Klinik Reni Jaya', '811199', 97000, 97000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16436, '69950209', '2004', '16436', '20040406', '20040327', 'Neneng Lutvia', 'Isteri', 'RS Mitra', '811199', 218900, 218900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16437, '68950371', '2004', '16437', '20040406', '20040330', 'Amarthya', 'Anak I', 'RSB Asih', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16438, '70950370', '2004', '16438', '20040406', '20040329', '', 'Anak I', 'Aptk Bungur', '811199', 97000, 97000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16439, '70000791', '2004', '16439', '20040406', '20040329', 'Safarina', 'Isteri', 'dr Budi', '811199', 103000, 103000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16440, '70980554', '2004', '16440', '20040406', '20040327', 'Oktarisna Yanti', 'Isteri', 'RS Mitra', '811199', 195000, 195000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16441, '57980555', '2004', '16441', '20040406', '20040319', 'Rusmiati', 'Isteri', 'dr Eva', '811199', 432300, 432300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16442, '70010882', '2004', '16442', '20040406', '20040327', '', 'Isteri', 'Aptk Taman Sari', '811199', 137100, 137100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16443, '00030010', '2004', '16443', '20040406', '20040318', '', 'Pegawai', 'RS Islam', '811199', 1659060, 1659060, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16444, '61000731', '2004', '16444', '20040406', '20040325', 'Rio Avicenna Syamil', 'Anak II', 'dr Boed S', '811199', 252950, 252950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16445, '51980512', '2004', '16445', '20040406', '20040311', '', 'Pegawai', 'RS Medistra', '811199', 471600, 471600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16446, '80031449', '2004', '16446', '20040406', '20040326', '', 'Pegawai', 'dr G Bambang', '811199', 406000, 406000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16447, '64930109', '2004', '16447', '20040406', '20040303', 'Amiralina Maharani Permata Nero', 'Anak II', 'RS Hermina', '811199', 1202345, 1087345, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16448, '64930109', '2004', '16448', '20040406', '20040327', 'Muhammad Cesare Wicaksana Nero', 'Anak I', 'RS Hermina', '811199', 764805, 764805, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16449, '61970468', '2004', '16449', '20040406', '20040401', '', 'Pegawai', 'Ladokgi', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16450, '68950174', '2004', '16450', '20040406', '20040329', '', 'Pegawai', 'RS Kariadi', '811199', 69500, 69500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16451, '74970450', '2004', '16451', '20040406', '20040331', '', 'Pegawai', 'RSIA Hermina', '811199', 97850, 97850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16452, '74000719', '2004', '16452', '20040406', '20040331', '', 'Pegawai', 'RS Permata Cibubur', '811199', 336000, 336000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16453, '63970464', '2004', '16453', '20040406', '20040331', '', 'Pegawai', 'dr Kamsi', '811199', 310000, 310000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16454, '78021087', '2004', '16454', '20040406', '20040331', '', 'Pegawai', 'dr Hussein', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16455, '77032098', '2004', '16455', '20040406', '20040331', '', 'Pegawai', 'RS Hasan Sadikin', '811199', 817400, 817400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16456, '76031447', '2004', '16456', '20040406', '20040324', '', 'Pegawai', 'RS Pertamina', '811199', 621500, 621500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16457, '76031759', '2004', '16457', '20040406', '20040318', '', 'Pegawai', 'Klinik Tomang', '811199', 97500, 97500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16458, '62950197', '2004', '16458', '20040413', '20040327', 'Fauzan Mario Pratama', 'Anak II', 'RS Sarjito', '811199', 480500, 480500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16459, '71980540', '2004', '16459', '20040413', '20040306', 'Rasyid Indy Nur Sasongko', 'Anak I', 'dr Kemal', '811199', 692000, 692000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16460, '73960391', '2004', '16460', '20040413', '20040320', 'Reynard', 'Anak I', 'RS Hermina', '811199', 215992, 215992, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16461, '5540008', '2004', '16461', '20040413', '20040401', '', 'Anak III', 'lab prodia', '811199', 237500, 237500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16462, '57930124', '2004', '16462', '20040413', '20040330', 'Henny Soewasti P', 'Isteri', 'RS Medistra', '811199', 367800, 367800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16463, '77021138', '2004', '16463', '20040413', '20040403', '', 'Pegawai', 'dr Tiiti Moertolo', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16464, '66920043', '2004', '16464', '20040413', '20040311', 'Muhammad Aiman', 'Anak I', 'RS Tria Dipa', '811199', 2909500, 2824500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16465, '60950354', '2004', '16465', '20040413', '20040401', 'Damar Surya Irdana', 'Anak II', 'dr Hartati', '811199', 141500, 141500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16466, '75020001', '2004', '16466', '20040413', '20040406', '', 'Pegawai', 'RS AL', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16467, '73000708', '2004', '16467', '20040413', '20040329', 'Rani Avianti', 'Isteri', 'dr Fredha', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16468, '69021141', '2004', '16468', '20040413', '20040403', '', 'Anak I', 'dr Ellen', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16469, '16900803', '2004', '16469', '20040413', '20040403', '', 'Isteri', 'RS Bunda', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16470, '72000707', '2004', '16470', '20040413', '20040401', '', 'Anak I', 'dr Azwir', '811199', 535100, 535100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16471, '67920065', '2004', '16471', '20040413', '20040401', '', 'Pegawai', 'drg Iwan', '811199', 850000, 850000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16472, '65950196', '2004', '16472', '20040413', '20040406', '', 'Pegawai', 'RS MMC', '811199', 306400, 306400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16473, '65010987', '2004', '16473', '20040413', '20040403', '', 'Anak I', 'RSIA Hermina', '811199', 319000, 319000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16474, '66920063', '2004', '16474', '20040413', '20040317', '', 'Pegawai', 'dr Hermawan', '811199', 502000, 502000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16475, '61970468', '2004', '16475', '20040413', '20040402', '', 'Anak I', 'RSB Asih', '811199', 183300, 183300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16476, '60950189', '2004', '16476', '20040413', '20040406', '', 'Pegawai', 'RS Budi Lestari', '811199', 217000, 217000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16477, '71970456', '2004', '16477', '20040413', '20040326', '', 'Pegawai', 'dr Nugroho', '811199', 596200, 596200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16478, '65920033', '2004', '16478', '20040413', '20040408', 'Eti Karyati', 'Isteri', 'Aptk Tumbuh Kembang', '811199', 137600, 137600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16479, '62920060', '2004', '16479', '20040413', '20040330', 'Eni Erlina', 'Isteri', 'drg Elizabeth', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16480, '70010882', '2004', '16480', '20040413', '20040401', '', 'Isteri', 'RS Pertamina', '811199', 667000, 667000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16481, '63970464', '2004', '16481', '20040413', '20040407', '', 'Pegawai', 'Ladokgi', '811199', 20000, 20000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16482, '76960435', '2004', '16482', '20040413', '20040406', '', 'Pegawai', 'RS Siloam', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16483, '58000840', '2004', '16483', '20040413', '20040330', '', 'Anak I', 'dr Suprayitno', '811199', 320300, 320300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16484, '63910010', '2004', '16484', '20040413', '20040403', 'Sindy Fadhilah Nasution', 'Anak II', 'dr Sri Supartina', '811199', 173000, 173000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16485, '68950221', '2004', '16485', '20040413', '20040403', '', 'Anak II', 'RS Hermina', '811199', 326776, 326776, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16486, '63920047', '2004', '16486', '20040413', '20040401', '', 'Isteri', 'dr Handaya', '811199', 743000, 743000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16487, '71950200', '2004', '16487', '20040413', '20040407', '', 'Anak I', 'dr Erik', '811199', 902900, 568952, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16488, '74950356', '2004', '16488', '20040413', '20040407', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 177600, 177600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16489, '61930128', '2004', '16489', '20040413', '20040402', 'A. Retno M', 'Isteri', 'RSPI', '811199', 346815, 346815, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16490, '60950189', '2004', '16490', '20040413', '20040407', 'Riska Oktaviana', 'Anak III', 'Klinik Medika', '811199', 219200, 219200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16491, '61970468', '2004', '16491', '20040413', '20040408', '', 'Anak I', 'RS MMC', '811199', 289500, 289500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16492, '69960396', '2004', '16492', '20040413', '20040401', '', 'Anak I', 'RS Puri Medika', '811199', 82500, 82500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16493, '74950226', '2004', '16493', '20040413', '20040406', 'Sheza M. A.', 'Anak II', 'RS Husada', '811199', 301850, 301850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16494, '71980551', '2004', '16494', '20040413', '20040402', '', 'Pegawai', 'drg Endang Ekowati', '811199', 950000, 950000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16495, '17101947', '2004', '16495', '20040413', '20040329', '', 'Isteri', 'RSB Duren Tiga', '811199', 189050, 189050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16496, '75990657', '2004', '16496', '20040413', '20040330', '', 'Pegawai', 'RS Medistra', '811199', 625970, 625970, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16497, '73950346', '2004', '16497', '20040413', '20040401', '', 'Pegawai', 'drg Siwy', '811199', 638334, 638334, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16498, '61930128', '2004', '16498', '20040413', '20040412', 'A. Retno M', 'Isteri', 'RSPI', '811199', 441449, 441449, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16499, '65960399', '2004', '16499', '20040413', '20040407', 'Mariam', 'Isteri', 'RS Siaga', '811199', 590950, 590950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16500, '63970478', '2004', '16500', '20040413', '20040406', '', 'Pegawai', 'dr Bernhard', '811199', 146000, 146000, NULL, NULL, 'A', 'medical')





/* Data for the `MedicalRestitusiDetail` table  (Records 16501 - 17000) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16501, '79021428', '2004', '16501', '20040413', '20040408', '', 'Pegawai', 'Ladokgi', '811199', 782100, 782100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16502, '58000840', '2004', '16502', '20040413', '20040330', '', 'Pegawai', 'dr Suprayitno', '811199', 253000, 253000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16503, '66920043', '2004', '16503', '20040413', '20040219', 'Fathonah', 'Isteri', 'RS Denta Medika', '811199', 1102300, 752300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16504, '59920030', '2004', '16504', '20040413', '20040401', 'Aina Fahrina', 'Isteri', 'Klinik Mahakam', '811199', 1231600, 1231600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16505, '70000717', '2004', '16505', '20040413', '20040410', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 697176, 697176, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16506, '71960437', '2004', '16506', '20040413', '20040412', '', 'Pegawai', 'RS Gleanegles', '811199', 555560, 555560, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16507, '17201001', '2004', '16507', '20040413', '20040408', '', 'Isteri', 'RS Ridwan', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16508, '17201001', '2004', '16508', '20040413', '20040408', '', 'Anak I', 'RSCM', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16509, '66950355', '2004', '16509', '20040413', '20040408', '', 'Isteri', 'RS Budhi Jaya', '811199', 398000, 398000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16510, '67920054', '2004', '16510', '20040413', '20040408', 'Tamam Ibrahim Satrio', 'Anak I', 'RSCM', '811199', 345000, 345000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16511, '64950219', '2004', '16511', '20040413', '20040410', '', 'Pegawai', 'Yay Pala Medika', '811199', 212700, 212700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16512, '70980570', '2004', '16512', '20040413', '20040410', 'Nabil', 'Anak I', 'RS Haji Jakarta', '811199', 144700, 144700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16513, '68920053', '2004', '16513', '20040413', '20040406', 'Syahida Nurrahmah', 'Anak II', 'dr Nancy', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16514, '72950345', '2004', '16514', '20040413', '20040410', '', 'Pegawai', 'RS Haji', '811199', 132650, 132650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16515, '74000719', '2004', '16515', '20040413', '20040410', '', 'Pegawai', 'RS Permata Cibubur', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16516, '69960401', '2004', '16516', '20040413', '20040410', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul M', '811199', 147600, 147600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16517, '79031761', '2004', '16517', '20040413', '20040408', '', 'Pegawai', 'Rs Medistra', '811199', 153000, 153000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16518, '62920050', '2004', '16518', '20040413', '20040409', 'M. Abrar Rafii', 'Anak II', 'dr Leopold', '811199', 112000, 112000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16519, '72099654', '2004', '16519', '20040413', '20040331', '', 'Isteri', 'Klinik JMC', '811199', 176300, 176300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16520, '69021141', '2004', '16520', '20040413', '20040410', '', 'Anak I', 'drg Sri H', '811199', 143700, 143700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16521, '66970463', '2004', '16521', '20040413', '20040331', '', 'Pegawai', 'RS Harapan Kita', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16522, '65980552', '2004', '16522', '20040413', '20040402', 'Harun Al Rasyid', 'Anak I', 'dr Soekarno', '811199', 518400, 518400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16523, '16801896', '2004', '16523', '20040413', '20040408', '', 'Isteri', 'dr Hanafi', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16524, '70000684', '2004', '16524', '20040413', '20040404', '', 'Anak I', 'dr Gatami SpA', '811199', 571010, 571010, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16525, '67920089', '2004', '16525', '20040413', '20040410', 'Muhammad Ilham Kamil', 'Anak II', 'JMC', '811199', 234900, 234900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16526, '70990586', '2004', '16526', '20040413', '20040406', '', 'Anak I', 'Klinik Anakku Sayang', '811199', 394300, 394300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16527, '70930144', '2004', '16527', '20040413', '20040410', '', 'Anak I', 'RS Medistra', '811199', 569000, 569000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16528, '72031488', '2004', '16528', '20040413', '20040410', '', 'Pegawai', 'Klinik Kartika', '811199', 488635, 488635, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16529, '65920018', '2004', '16529', '20040413', '20040412', '', 'Pegawai', 'dr Himawan', '811199', 142500, 142500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16530, '74950356', '2004', '16530', '20040413', '20040409', 'Hj. Junerah', 'Isteri', 'Klinik Sentosa', '811199', 53000, 53000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16531, '67950203', '2004', '16531', '20040413', '20040412', 'Rifqi Nabil Muhammad', 'Anak I', 'Klinik Raifa', '811199', 275000, 275000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16532, '71940159', '2004', '16532', '20040415', '20040413', '', 'Pegawai', 'RSPI', '811199', 619073, 619073, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16533, '55021244', '2004', '16533', '20040415', '20040308', '', 'Pegawai', 'dr Sutan', '811199', 242900, 147000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16534, '70940155', '2004', '16534', '20040415', '20040411', 'Astri FW.', 'Anak I', 'RS Hermina', '811199', 182320, 182320, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16535, '66920035', '2004', '16535', '20040415', '20040401', '', 'Pegawai', 'RS Inter,l Bintaro', '811199', 1152787, 1152787, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16536, '64950184', '2004', '16536', '20040415', '20040406', '', 'Pegawai', 'Klinik Armabar', '811199', 695000, 695000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16537, '17501981', '2004', '16537', '20040415', '20040406', '', 'Pegawai', 'RS Saint Carolus', '811199', 147500, 147500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16538, '72950364', '2004', '16538', '20040415', '20040412', '', 'Pegawai', 'RS Tria Dipa', '811199', 338000, 338000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16539, '70000791', '2004', '16539', '20040415', '20040409', 'Safarina', 'Isteri', 'dr Budi', '811199', 157600, 157600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16540, '77011016', '2004', '16540', '20040415', '20040319', '', 'Pegawai', 'dr Rani Novian', '811199', 257000, 257000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16541, '70950231', '2004', '16541', '20040415', '20040402', '', 'Pegawai', 'dr Rani Novianti', '811199', 352000, 352000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16542, '69950209', '2004', '16542', '20040415', '20040412', 'Neneng Lutvia', 'Isteri', 'RS Mitra', '811199', 192200, 192200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16543, '73021143', '2004', '16543', '20040415', '20040401', '', 'Isteri', 'Balai Bhakti Pertiwi', '811199', 440000, 440000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16544, '71000727', '2004', '16544', '20040415', '20040412', '', 'Pegawai', 'dr Tanti', '811199', 162000, 162000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16545, '64920046', '2004', '16545', '20040415', '20040412', '', 'Pegawai', 'drg Sri', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16546, '65960348', '2004', '16546', '20040415', '20040413', '', 'Pegawai', 'RS Medistra', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16547, '65950196', '2004', '16547', '20040415', '20040410', '', 'Pegawai', 'dr Martha', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16548, '68920057', '2004', '16548', '20040415', '20040413', '', 'Isteri', 'RS Puri Cinere', '811199', 357700, 357700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16549, '64960402', '2004', '16549', '20040415', '20040330', '', 'Pegawai', 'dr Theo', '811199', 378500, 378500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16550, '69970477', '2004', '16550', '20040415', '20040414', '', 'Anak I', 'RSIA Permata', '811199', 272000, 272000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16551, '78031442', '2004', '16551', '20040415', '20040410', '', 'Pegawai', 'dr Budiharto', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16552, '16801865', '2004', '16552', '20040415', '20040410', 'Sulami A.', 'Isteri', 'dr Adrul Muslim', '811199', 162050, 162050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16553, '59950195', '2004', '16553', '20040415', '20040414', 'Lisbet Morliner', 'Isteri', 'dr Gunawan', '811199', 596600, 596600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16554, '64000846', '2004', '16554', '20040415', '20040407', '', 'Pegawai', 'Ladokgi', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16555, '73010858', '2004', '16555', '20040415', '20040413', '', 'Anak I', 'RS Mitra', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16556, '72000794', '2004', '16556', '20040415', '20040327', '', 'Anak I', 'dr Yulidar', '811199', 87000, 87000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16557, '60950189', '2004', '16557', '20040415', '20040413', '', 'Pegawai', 'dr Alfiyah', '811199', 128000, 128000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16558, '66920026', '2004', '16558', '20040415', '20040413', 'Ngakan Made Prakasa Judha', 'Anak II', 'RS Int,l Bintaro', '811199', 87459, 87459, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16559, '66920026', '2004', '16559', '20040415', '20040326', 'Ngakan Putu Prajna Pratisthita', 'Anak I', 'RS Int,l Bintaro', '811199', 241133, 241133, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16560, '65960416', '2004', '16560', '20040415', '20040326', 'Meity Muljati', 'Isteri', 'drg M Jenny', '811199', 950000, 950000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16561, '00030010', '2004', '16561', '20040415', '20040228', '', 'Anak I', 'RS Aini', '811199', 438200, 438200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16562, '00030010', '2004', '16562', '20040415', '20040407', '', 'Pegawai', 'RS Hermina', '811199', 2684102, 2684102, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16563, '60930116', '2004', '16563', '20040420', '20040323', '', 'Anak I', 'RS OMC', '811199', 1568850, 1568850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16564, '67990636', '2004', '16564', '20040420', '20040415', 'Iqbal Aidina Arridho', 'Anak II', 'RS Bakti Yudha', '811199', 901400, 901400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16565, '70950214', '2004', '16565', '20040420', '20040405', '', 'Pegawai', 'dr Dawam', '811199', 147700, 147700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16566, '76980517', '2004', '16566', '20040420', '20040419', 'Fathya A.W.', 'Anak I', 'RS Prima Husada', '811199', 115200, 115200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16567, '76980517', '2004', '16567', '20040420', '20040415', '', 'Isteri', 'RS Puri Cinere', '811199', 464900, 464900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16568, '68000709', '2004', '16568', '20040420', '20040417', '', 'Isteri', 'RS Hermina', '811199', 419640, 419640, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16569, '68021214', '2004', '16569', '20040420', '20040410', '', 'Pegawai', 'RS Islam Jakarta', '811199', 70350, 70350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16570, '71950212', '2004', '16570', '20040420', '20040408', '', 'Pegawai', 'dr Nugroho', '811199', 430000, 430000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16571, '68000752', '2004', '16571', '20040420', '20040408', 'Harits Sudarsono M', 'Anak I', 'Aptk Aji Waras', '811199', 77700, 77700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16572, '61970468', '2004', '16572', '20040420', '20040412', '', 'Anak I', 'RS MMC', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16573, '75010905', '2004', '16573', '20040420', '20040415', '', 'Pegawai', 'drg Koesmanto S', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16574, '70960393', '2004', '16574', '20040420', '20040406', '', 'Pegawai', 'RS Mount Elishabeth', '811199', 1177426, 1177426, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16575, '72021050', '2004', '16575', '20040420', '20040415', '', 'Pegawai', 'RS Harapan Kita', '811199', 255500, 255500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16576, '60920041', '2004', '16576', '20040420', '20040414', 'Dewi Handayani', 'Isteri', 'RS Mitra Keluarga', '811199', 380000, 380000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16577, '67920089', '2004', '16577', '20040420', '20040415', '', 'Pegawai', 'dr Titi Sugito', '811199', 325000, 325000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16578, '70000791', '2004', '16578', '20040420', '20040415', 'Safarina', 'Isteri', 'dr Budi', '811199', 220600, 220600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16579, '74970450', '2004', '16579', '20040420', '20040414', '', 'Pegawai', 'RSIA Hermina', '811199', 104425, 104425, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16580, '50010867', '2004', '16580', '20040420', '20040414', '', 'Pegawai', 'dr Tjinta', '811199', 37000, 37000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16581, '62910008', '2004', '16581', '20040420', '20040412', '', 'Pegawai', 'RS Medistra', '811199', 296900, 296900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16582, '77042155', '2004', '16582', '20040420', '20040414', '', 'Pegawai', 'dr A.M Ria Kusuma Dewi', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16583, '60032087', '2004', '16583', '20040420', '20040413', '', 'Anak I', 'dr I. Boediman', '811199', 166300, 166300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16584, '75020004', '2004', '16584', '20040420', '20040319', '', 'Isteri', 'dr Triyoga', '811199', 220100, 220100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16585, '65970482', '2004', '16585', '20040420', '20040413', '', 'Pegawai', 'dr Bambang', '811199', 56000, 56000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16586, '68930133', '2004', '16586', '20040420', '20040415', '', 'Pegawai', 'dr Rosana', '811199', 348500, 348500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16587, '59920104', '2004', '16587', '20040420', '20040317', 'Diah Komalasari', 'Isteri', 'RS Medistra', '811199', 361700, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16588, '77021068', '2004', '16588', '20040420', '20040419', '', 'Pegawai', 'dr Hermawan', '811199', 314700, 314700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16589, '66010859', '2004', '16589', '20040420', '20040415', 'Pratiti', 'Isteri', 'RS Int,l Bintaro', '811199', 372966, 372966, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16590, '56950201', '2004', '16590', '20040420', '20040412', 'Sudiangsih', 'Isteri', 'dr Yacob', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16591, '66920106', '2004', '16591', '20040420', '20040414', 'Fitriani', 'Isteri', 'Bpu Yadi', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16592, '71960437', '2004', '16592', '20040420', '20040417', '', 'Pegawai', 'RS Medistra', '811199', 291800, 291800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16593, '65960408', '2004', '16593', '20040420', '20040416', '', 'Pegawai', 'drg Jimmy', '811199', 1000000, 1000000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16594, '65010987', '2004', '16594', '20040420', '20040414', '', 'Anak I', 'Aptk Legenda', '811199', 195000, 195000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16595, '66920063', '2004', '16595', '20040420', '20040415', '', 'Pegawai', 'dr Andra', '811199', 741670, 741670, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16596, '73970451', '2004', '16596', '20040420', '20040416', '', 'Pegawai', 'dr Bambang', '811199', 590200, 590200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16597, '66970463', '2004', '16597', '20040420', '20040415', '', 'Pegawai', 'RS Patria IKKT', '811199', 132600, 132600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16598, '67970470', '2004', '16598', '20040420', '20040414', '', 'Pegawai', 'dr Titiek', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16599, '59021080', '2004', '16599', '20040420', '20040412', '', 'Isteri', 'Depok Medical', '811199', 103000, 103000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16600, '71930148', '2004', '16600', '20040420', '20040414', '', 'Pegawai', 'RSAB Harapan Kita', '811199', 264500, 264500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16601, '64950185', '2004', '16601', '20040420', '20040413', '', 'Anak I', 'dr H Nana K', '811199', 683000, 683000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16602, '78031463', '2004', '16602', '20040420', '20040407', '', 'Pegawai', 'dr Yeni Amran', '811199', 162700, 162700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16603, '67920054', '2004', '16603', '20040420', '20040418', 'Tamam Ibrahim Satrio', 'Anak I', 'RSCM', '811199', 333300, 333300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16604, '68950221', '2004', '16604', '20040420', '20040417', 'Kevin Tria Nugroho', 'Anak I', 'RS Hermina', '811199', 227815, 227815, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16605, '66950355', '2004', '16605', '20040420', '20040414', '', 'Isteri', 'RS Budhi Jaya', '811199', 310000, 310000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16606, '64000846', '2004', '16606', '20040420', '20040414', '', 'Pegawai', 'Ladokgi', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16607, '63920052', '2004', '16607', '20040420', '20040414', '', 'Pegawai', 'RS Mitra Keluarga', '811199', 296800, 296800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16608, '72099654', '2004', '16608', '20040420', '20040414', '', 'Isteri', 'Klinik JMC', '811199', 151200, 151200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16609, '63970483', '2004', '16609', '20040420', '20040414', 'Eli', 'Isteri', 'Poliklinik Afiat', '811199', 1255600, 1255600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16610, '68960388', '2004', '16610', '20040420', '20040404', '', 'Anak I', 'RS Medistra', '811199', 132000, 132000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16611, '67930149', '2004', '16611', '20040420', '20040419', '', 'Pegawai', 'RS Medistra', '811199', 265000, 265000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16612, '79031849', '2004', '16612', '20040420', '20040420', '', 'Pegawai', 'RS Medistra', '811199', 470000, 470000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16613, '57930124', '2004', '16613', '20040423', '20040417', 'Henny Soewasti P', 'Isteri', 'RS Medistra', '811199', 609000, 609000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16614, '66920064', '2004', '16614', '20040423', '20040416', 'M. Eryan', 'Anak I', 'dr Rini Teguh', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16615, '71980540', '2004', '16615', '20040423', '20040414', 'Rasyid Indy Nur Sasongko', 'Anak I', 'dr Kemal', '811199', 560500, 560500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16616, '69021086', '2004', '16616', '20040423', '20040414', '', 'Pegawai', 'Poliklinik Yan Medika', '811199', 37000, 37000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16617, '74000702', '2004', '16617', '20040423', '20040419', '', 'Pegawai', 'dr I Made Subrata', '811199', 369100, 369100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16618, '17501981', '2004', '16618', '20040423', '20040420', '', 'Pegawai', 'RS Saint Carolus', '811199', 167800, 167800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16619, '70950199', '2004', '16619', '20040423', '20040415', '', 'Pegawai', 'dr Ina L', '811199', 155000, 155000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16620, '55021244', '2004', '16620', '20040423', '20040420', 'Tisnowati', 'Isteri', 'dr Rahayu', '811199', 264300, 119600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16621, '73970451', '2004', '16621', '20040423', '20040420', '', 'Pegawai', 'RS Medistra', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16622, '65920033', '2004', '16622', '20040423', '20040420', 'Eti Karyati', 'Isteri', 'dr Suharni', '811199', 134100, 134100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16623, '60920075', '2004', '16623', '20040423', '20040412', '', 'Pegawai', 'RS Tumbuh Kembang', '811199', 910800, 910800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16624, '70000717', '2004', '16624', '20040423', '20040420', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 186553, 186553, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16625, '70980554', '2004', '16625', '20040423', '20040420', '', 'Anak I', 'RS Mitra', '811199', 193500, 193500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16626, '69970477', '2004', '16626', '20040423', '20040413', '', 'Pegawai', 'drg Gina', '811199', 525000, 525000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16627, '70950204', '2004', '16627', '20040423', '20040419', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'Bidan Sukamti', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16628, '66920035', '2004', '16628', '20040423', '20040414', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 449702, 449702, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16629, '69950162', '2004', '16629', '20040423', '20040416', 'Muhammad Nadhif Judhananto', 'Anak I', 'RSPI', '811199', 213500, 213500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16630, '73000708', '2004', '16630', '20040423', '20040420', '', 'Pegawai', 'RS Puri Cinere', '811199', 97400, 97400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16631, '67980526', '2004', '16631', '20040423', '20040417', 'Ahmad Faishal Annas', 'Anak I', 'RS Hermina', '811199', 200890, 200890, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16632, '70010898', '2004', '16632', '20040423', '20040417', 'Anindya F.', 'Anak I', 'RSIA Permata', '811199', 147300, 147300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16633, '77032118', '2004', '16633', '20040423', '20040420', '', 'Pegawai', 'dr Erlang', '811199', 140800, 140800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16634, '70920034', '2004', '16634', '20040423', '20040413', '', 'Pegawai', 'RS Mitra', '811199', 576900, 576900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16635, '66920029', '2004', '16635', '20040423', '20040417', '', 'Pegawai', 'RS Graha Medika', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16636, '77021429', '2004', '16636', '20040423', '20040422', '', 'Pegawai', 'dr Tinah Tan', '811199', 410000, 410000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16637, '72980510', '2004', '16637', '20040423', '20040422', 'M. Nur Muhriza', 'Anak I', 'RS Thamrin', '811199', 127600, 127600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16638, '68960412', '2004', '16638', '20040423', '20040413', '', 'Anak II', 'RSPI', '811199', 295000, 295000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16639, '74031496', '2004', '16639', '20040423', '20040416', '', 'Pegawai', 'RS Cikini', '811199', 97700, 97700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16640, '77000793', '2004', '16640', '20040423', '20040421', '', 'Pegawai', 'Poliklinik Sigra', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16641, '77011017', '2004', '16641', '20040423', '20040416', '', 'Pegawai', 'RS Siaga Raya', '811199', 660000, 660000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16642, '72021108', '2004', '16642', '20040423', '20040419', '', 'Anak I', 'Aptk Tugu Ibu', '811199', 192800, 192800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16643, '67960411', '2004', '16643', '20040423', '20040413', 'Fakhri Achmad', 'Anak II', 'RB Citra Ananda', '811199', 103000, 103000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16644, '71930148', '2004', '16644', '20040423', '20040421', '', 'Pegawai', 'RSAB Harapan Kita', '811199', 290000, 290000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16645, '71031745', '2004', '16645', '20040423', '20040417', '', 'Pegawai', 'dr Murdi', '811199', 162200, 162200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16646, '67950203', '2004', '16646', '20040428', '20040426', 'Yuli Sumirah', 'Isteri', 'drg Jenny', '811199', 700000, 700000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16647, '63000711', '2004', '16647', '20040428', '20040421', '', 'Pegawai', 'RS MMC', '811199', 197600, 197600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16648, '77021068', '2004', '16648', '20040428', '20040425', '', 'Pegawai', 'dr J Mila', '811199', 131300, 131300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16649, '68920057', '2004', '16649', '20040428', '20040417', '', 'Isteri', 'Kezia Medika', '811199', 59300, 59300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16650, '66920063', '2004', '16650', '20040428', '20040426', '', 'Pegawai', 'RS Graha Medika', '811199', 420000, 420000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16651, '65970482', '2004', '16651', '20040428', '20040428', '', 'Pegawai', 'Ladogki', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16652, '70031507', '2004', '16652', '20040428', '20040428', '', 'Anak I', 'Prof Husein', '811199', 204000, 204000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16653, '71960403', '2004', '16653', '20040428', '20040329', '', 'Pegawai', 'drg Sarworini', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16654, '74950356', '2004', '16654', '20040428', '20040421', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 270100, 270100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16655, '70950370', '2004', '16655', '20040428', '20040422', '', 'Anak I', 'dr Mintohardjo', '811199', 313000, 313000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16656, '74950226', '2004', '16656', '20040428', '20040423', 'Syifa Ghallyah', 'Anak I', 'dr Gunawan', '811199', 140850, 140850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16657, '72950205', '2004', '16657', '20040428', '20040424', 'Rizqullah Ishaq', 'Anak I', 'RS Tumbuh Kembang', '811199', 135500, 135500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16658, '49920032', '2004', '16658', '20040428', '20040419', '', 'Pegawai', 'dr Tjandra', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16659, '57910014', '2004', '16659', '20040428', '20040425', 'Suwarni', 'Isteri', 'dr Yacob', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16660, '76021048', '2004', '16660', '20040428', '20040419', '', 'Pegawai', 'Klinik Bhakti Utama', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16661, '76021048', '2004', '16661', '20040428', '20040329', '', 'Pegawai', 'dr Tinawati', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16662, '75980563', '2004', '16662', '20040428', '20040424', '', 'Pegawai', 'RS Hermina', '811199', 355410, 355410, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16663, '69960396', '2004', '16663', '20040428', '20040422', '', 'Anak I', 'RS Puri Medika', '811199', 72000, 72000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16664, '72021050', '2004', '16664', '20040428', '20040412', '', 'Isteri', 'RS Harapan Kita', '811199', 82000, 82000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16665, '73021088', '2004', '16665', '20040428', '20040422', '', 'Isteri', 'dr Dewi', '811199', 102600, 102600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16666, '64920046', '2004', '16666', '20040428', '20040420', '', 'Pegawai', 'drg Sri', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16667, '63910010', '2004', '16667', '20040428', '20040410', 'Sindy Fadhilah Nasution', 'Anak II', 'dr Sri Supartina', '811199', 103000, 103000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16668, '69970477', '2004', '16668', '20040428', '20040423', '', 'Anak I', 'RSIA Permata', '811199', 236700, 151483, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16669, '73950346', '2004', '16669', '20040428', '20040422', '', 'Pegawai', 'dr Parti Aliyanti', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16670, '72000696', '2004', '16670', '20040428', '20040424', '', 'Anak I', 'RSIA Hermina', '811199', 224520, 224520, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16671, '69960401', '2004', '16671', '20040428', '20040424', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul M', '811199', 232900, 232900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16672, '70940155', '2004', '16672', '20040428', '20040422', 'Astri FW.', 'Anak I', 'RS Hermina', '811199', 137000, 137000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16673, '61970468', '2004', '16673', '20040428', '20040424', '', 'Anak I', 'RS MMC', '811199', 95300, 95300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16674, '79031761', '2004', '16674', '20040428', '20040424', '', 'Pegawai', 'Aptk Mahakam', '811199', 82000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16675, '70920034', '2004', '16675', '20040428', '20040424', '', 'Pegawai', 'RS Mitra', '811199', 263000, 263000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16676, '64000846', '2004', '16676', '20040428', '20040425', '', 'Pegawai', 'dr S R Endang', '811199', 315000, 315000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16677, '70000717', '2004', '16677', '20040428', '20040424', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 630000, 630000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16678, '70000791', '2004', '16678', '20040428', '20040426', '', 'Anak II', 'dr Ismael', '811199', 335992, 335992, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16679, '69960401', '2004', '16679', '20040428', '20040426', 'Elly S. Abdurachman', 'Isteri', 'RS Hermina', '811199', 93500, 93500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16680, '70031507', '2004', '16680', '20040428', '20040424', '', 'Isteri', 'dr B Handana', '811199', 297000, 297000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16681, '64920046', '2004', '16681', '20040428', '20040426', '', 'Pegawai', 'drg Sri', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16682, '73000708', '2004', '16682', '20040428', '20040424', '', 'Anak I', 'RS Puri Cinere', '811199', 310600, 310600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16683, '65950169', '2004', '16683', '20040428', '20040426', '', 'Pegawai', 'RS Cinere', '811199', 514800, 514800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16684, '65960379', '2004', '16684', '20040428', '20040412', 'Arum Rosmawangi', 'Isteri', 'RS MMC', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16685, '69021047', '2004', '16685', '20040428', '20040422', '', 'Anak I', 'dr Abdurachmad', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16686, '96080022', '2004', '16686', '20040428', '20040423', '', 'Pegawai', 'dr H Herry', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16687, '70970480', '2004', '16687', '20040428', '20040426', '', 'Pegawai', 'RSB YPK', '811199', 429000, 429000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16688, '65000730', '2004', '16688', '20040428', '20040420', 'M.Fakhri S', 'Anak I', 'RS Baromeus', '811199', 147300, 147300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16689, '17201001', '2004', '16689', '20040428', '20040424', '', 'Anak II', 'RS Harapan Bunda', '811199', 243500, 243500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16690, '77021138', '2004', '16690', '20040428', '20040425', '', 'Pegawai', 'Remedika Bintaro', '811199', 119700, 119700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16691, '76960435', '2004', '16691', '20040428', '20040420', '', 'Isteri', 'RS Siloam', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16692, '66950191', '2004', '16692', '20040428', '20040423', '', 'Pegawai', 'dr Jodi', '811199', 530800, 530800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16693, '72000703', '2004', '16693', '20040428', '20040406', '', 'Pegawai', 'RS Medistra', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16694, '76030008', '2004', '16694', '20040428', '20040422', '', 'Anak I', 'dr Soerachmo', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16695, '5203005', '2004', '16695', '20040428', '20040408', '', 'Pegawai', 'RS Medistra', '811199', 1762650, 1762650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16696, '61950175', '2004', '16696', '20040504', '20040424', '', 'Pegawai', 'drg Cynthiawati', '811199', 690000, 690000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16697, '72980510', '2004', '16697', '20040504', '20040504', 'M. Nur Muhriza', 'Anak I', 'RS Thamrin', '811199', 677750, 677750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16698, '67920049', '2004', '16698', '20040504', '20040428', 'Enung Herawati', 'Isteri', 'RS Harapan Kita', '811199', 217000, 217000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16699, '69970477', '2004', '16699', '20040504', '20040428', '', 'Anak I', 'dr Syarif', '811199', 131000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16700, '61920045', '2004', '16700', '20040504', '20040426', '', 'Anak I', 'RS Tumbuh Kembang', '811199', 247000, 247000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16701, '61930128', '2004', '16701', '20040504', '20040429', 'A. Retno M', 'Isteri', 'dr Karno', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16702, '72099654', '2004', '16702', '20040504', '20040428', '', 'Isteri', 'Klinik JMC', '811199', 305800, 305800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16703, '77021067', '2004', '16703', '20040504', '20040427', '', 'Pegawai', 'RS Hermina', '811199', 189850, 189850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16704, '70950370', '2004', '16704', '20040504', '20040428', '', 'Pegawai', 'RS Medistra', '811199', 283500, 283500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16705, '49920032', '2004', '16705', '20040504', '20040428', 'Suryati', 'Isteri', 'dr Tjandra', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16706, '79030001', '2004', '16706', '20040504', '20040426', '', 'Pegawai', 'Klinik Dharma Bhakti', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16707, '63910010', '2004', '16707', '20040504', '20040428', '', 'Pegawai', 'RS Medistra', '811199', 227900, 227900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16708, '79031849', '2004', '16708', '20040504', '20040428', '', 'Pegawai', 'RS Medistra', '811199', 399800, 399800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16709, '65960379', '2004', '16709', '20040504', '20040426', 'Arum Rosmawangi', 'Isteri', 'RS MMC', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16710, '66990584', '2004', '16710', '20040504', '20040415', 'Andi Ernawati SE', 'Isteri', 'dr Sofie RK', '811199', 195300, 195300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16711, '17301957', '2004', '16711', '20040504', '20040427', '', 'Anak I', 'RS Hermina', '811199', 219200, 219200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16712, '76960435', '2004', '16712', '20040504', '20040429', '', 'Anak I', 'RS Siloam', '811199', 155500, 155500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16713, '73950170', '2004', '16713', '20040504', '20040326', '', 'Pegawai', 'Praktek Cahaya Medika', '811199', 126000, 77000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16714, '69940161', '2004', '16714', '20040504', '20040429', 'Kalista Adjani', 'Anak II', 'dr H Tin', '811199', 250100, 250100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16715, '70000961', '2004', '16715', '20040504', '20040427', '', 'Isteri', 'RS MH Thamrin', '811199', 257900, 257900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16716, '74970450', '2004', '16716', '20040504', '20040428', '', 'Pegawai', 'RSIA Hermina', '811199', 239100, 239100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16717, '68930133', '2004', '16717', '20040504', '20040430', '', 'Pegawai', 'dr Tanudjaja', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16718, '59021080', '2004', '16718', '20040504', '20040426', '', 'Isteri', 'Aptk Eera Medika', '811199', 60200, 60200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16719, '16801896', '2004', '16719', '20040504', '20040501', '', 'Pegawai', 'dr Adnan', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16720, '69970477', '2004', '16720', '20040504', '20040430', '', 'Anak I', 'dr Syarif', '811199', 86000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16721, '76011015', '2004', '16721', '20040504', '20040426', '', 'Pegawai', 'RS Medika Griya', '811199', 790400, 790400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16722, '76021258', '2004', '16722', '20040504', '20040430', '', 'Pegawai', 'RS Hermina', '811199', 251650, 251650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16723, '64000846', '2004', '16723', '20040504', '20040429', '', 'Pegawai', 'Ladokgi', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16724, '71011018', '2004', '16724', '20040504', '20040428', '', 'Isteri', 'RS Hermina', '811199', 232300, 232300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16725, '68000752', '2004', '16725', '20040504', '20040429', '', 'Anak II', 'Aptk Aji Waras', '811199', 474700, 474700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16726, '74950356', '2004', '16726', '20040504', '20040430', 'Thifal N.', 'Anak II', 'Klinik Sentosa', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16727, '67950203', '2004', '16727', '20040504', '20040429', 'Salsabila Shafira', 'Anak II', 'Aptk Raya', '811199', 80300, 80300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16728, '66920064', '2004', '16728', '20040504', '20040429', 'M. Eryan', 'Anak I', 'Radytia Medikal Centre', '811199', 165500, 165500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16729, '66920026', '2004', '16729', '20040506', '20040422', 'Ngakan Putu Prajna Pratisthita', 'Anak I', 'RS Int,l Bintaro', '811199', 243302, 243302, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16730, '72950363', '2004', '16730', '20040506', '20040426', '', 'Pegawai', 'RS Medistra', '811199', 1737325, 1737325, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16731, '65920048', '2004', '16731', '20040506', '20040505', '', 'Anak I', 'Klinik Reni Jaya', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16732, '67920089', '2004', '16732', '20040506', '20040501', 'Muhammad Ilham Kamil', 'Anak II', 'JMC', '811199', 299300, 299300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16733, '17501981', '2004', '16733', '20040506', '20040420', '', 'Pegawai', 'RS Saint Carolus', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16734, '70000791', '2004', '16734', '20040506', '20040429', 'Safarina', 'Isteri', 'dr Budi', '811199', 99000, 99000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16735, '76960435', '2004', '16735', '20040506', '20040501', '', 'Anak I', 'RS Siloam', '811199', 157214, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16736, '63970476', '2004', '16736', '20040506', '20040501', '', 'Pegawai', 'drg Abdoellah', '811199', 457000, 457000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16737, '60950189', '2004', '16737', '20040506', '20040504', 'Anita Karolina', 'Anak I', 'dr Naik L Tobing', '811199', 280000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16738, '71950212', '2004', '16738', '20040506', '20040505', '', 'Pegawai', 'dr Nugroho', '811199', 213300, 213300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16739, '71960398', '2004', '16739', '20040506', '20040416', '', 'Anak I', 'RS Graha Medika', '811199', 189000, 189000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16740, '17600790', '2004', '16740', '20040506', '20040504', '', 'Pegawai', 'Poliklinik Cengkareng', '811199', 104467, 104467, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16741, '67980526', '2004', '16741', '20040506', '20040426', '', 'Pegawai', 'RS Tebet', '811199', 440000, 440000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16742, '67960411', '2004', '16742', '20040506', '20040423', 'Endang Kuspringati S', 'Isteri', 'RB Citra Ananda', '811199', 307000, 307000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16743, '72000696', '2004', '16743', '20040506', '20040501', 'Teti P.', 'Isteri', 'RS Haji Jakarta', '811199', 286100, 286100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16744, '66980545', '2004', '16744', '20040506', '20040429', '', 'Pegawai', 'RS Tria Dipa', '811199', 162000, 162000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16745, '65930147', '2004', '16745', '20040506', '20040422', '', 'Anak I', 'RS Yadika', '811199', 394500, 394500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16746, '65960399', '2004', '16746', '20040506', '20040504', '', 'Anak I', 'RS Hermina', '811199', 440218, 440218, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16747, '61920069', '2004', '16747', '20040506', '20040403', '', 'Pegawai', 'dr Hery', '811199', 824200, 529450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16748, '78021087', '2004', '16748', '20040506', '20040430', '', 'Pegawai', 'dr Hussein', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16749, '69021047', '2004', '16749', '20040506', '20040502', '', 'Anak I', 'RS Santo Yusuf', '811199', 46600, 46600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16750, '71980540', '2004', '16750', '20040506', '20040502', 'Indah Kusharyanti', 'Isteri', 'dr Kemal', '811199', 451300, 348200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16751, '60930116', '2004', '16751', '20040506', '20040429', '', 'Anak I', 'RS OMC', '811199', 1117800, 1117800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16752, '62920017', '2004', '16752', '20040506', '20040505', '', 'Anak I', 'Yay Kurnia Bhakti', '811199', 192000, 192000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16753, '68930133', '2004', '16753', '20040506', '20040502', '', 'Pegawai', 'dr Beny', '811199', 304000, 304000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16754, '65970482', '2004', '16754', '20040506', '20040505', '', 'Pegawai', 'Ladokgi', '811199', 328400, 328400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16755, '77042155', '2004', '16755', '20040506', '20040429', '', 'Pegawai', 'drg Marlina', '811199', 62000, 62000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16756, '70950204', '2004', '16756', '20040506', '20040503', 'Rustini', 'Isteri', 'Bidan Sukamti', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16757, '70990586', '2004', '16757', '20040506', '20040424', '', 'Anak I', 'dr Nenie', '811199', 217000, 217000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16758, '57930124', '2004', '16758', '20040506', '20040415', '', 'Pegawai', 'dr Pudji Wiyanti', '811199', 134500, 134500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16759, '64980559', '2004', '16759', '20040506', '20040423', 'Malika Daeng Ratang', 'Isteri', 'dr Tinawati', '811199', 886000, 886000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16760, '74950226', '2004', '16760', '20040506', '20040428', 'Syifa Ghallyah', 'Anak I', 'dr Tan Gek Soan', '811199', 111500, 111500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16761, '82031487', '2004', '16761', '20040506', '20040505', '', 'Pegawai', 'RS Aini', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16762, '70031507', '2004', '16762', '20040506', '20040430', '', 'Anak I', 'Prof Husein', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16763, '74970450', '2004', '16763', '20040506', '20040505', '', 'Pegawai', 'RSIA Hermina', '811199', 224700, 224700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16764, '68960412', '2004', '16764', '20040506', '20040424', 'Michelle Shan C.', 'Anak I', 'Klinik Tiara', '811199', 203000, 203000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16765, '79031439', '2004', '16765', '20040506', '20040406', '', 'Pegawai', 'RS Prikasih', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16766, '79010904', '2004', '16766', '20040506', '20040430', '', 'Pegawai', 'Ritifa Medika', '811199', 59500, 59500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16767, '69960396', '2004', '16767', '20040506', '20040503', '', 'Anak I', 'RS Puri Medika', '811199', 73500, 73500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16768, '72000707', '2004', '16768', '20040506', '20040501', '', 'Anak I', 'dr Azwir', '811199', 269000, 269000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16769, '74011037', '2004', '16769', '20040506', '20040407', '', 'Isteri', 'dr Subur', '811199', 116800, 116800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16770, '17702001', '2004', '16770', '20040506', '20040501', '', 'Pegawai', 'RS Medistra', '811199', 80800, 80800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16771, '76011015', '2004', '16771', '20040506', '20040420', '', 'Pegawai', 'RS Bunda', '811199', 462000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16772, '74990649', '2004', '16772', '20040506', '20040501', '', 'Pegawai', 'dr Yanuar', '811199', 68000, 68000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16773, '76960435', '2004', '16773', '20040506', '20040504', '', 'Isteri', 'RS Siloam', '811199', 359006, 359006, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16774, '16900803', '2004', '16774', '20040506', '20040504', '', 'Isteri', 'RS Bunda', '811199', 479500, 479500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16775, '65980564', '2004', '16775', '20040506', '20040425', 'Sekar P. L', 'Anak III', 'RS Hermina', '811199', 490855, 490855, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16776, '67950203', '2004', '16776', '20040506', '20040505', 'Rifqi Nabil Muhammad', 'Anak I', 'Klinik Syarif', '811199', 242400, 242400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16777, '70000791', '2004', '16777', '20040506', '20040505', '', 'Anak II', 'RS Hermina', '811199', 141780, 141780, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16778, '74950356', '2004', '16778', '20040506', '20040505', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 162900, 162900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16779, '73000708', '2004', '16779', '20040511', '20040508', '', 'Anak I', 'dr Harry P', '811199', 728000, 728000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16780, '52030005', '2004', '16780', '20040511', '20040510', '', 'Anak I', 'dr Jahja', '811199', 263000, 263000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16781, '70930145', '2004', '16781', '20040511', '20040423', '', 'Anak I', 'RS Hermina', '811199', 297000, 297000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16782, '62920017', '2004', '16782', '20040511', '20040501', '', 'Pegawai', 'Klinik Asri', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16783, '63970483', '2004', '16783', '20040511', '20040430', 'Eli', 'Isteri', 'dr Yulianto', '811199', 290000, 290000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16784, '63970483', '2004', '16784', '20040511', '20040420', 'Eli', 'Isteri', 'Aptk Azra', '811199', 623200, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16785, '57910014', '2004', '16785', '20040511', '20040508', 'Amir Shiddiq', 'Anak I', 'dr Yacob', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16786, '65970482', '2004', '16786', '20040511', '20040510', '', 'Pegawai', 'Ladokgi', '811199', 126000, 126000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16787, '76980527', '2004', '16787', '20040511', '20040508', '', 'Pegawai', 'RS MMC', '811199', 411600, 399600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16788, '64010984', '2004', '16788', '20040511', '20040508', '', 'Anak I', 'dr Fajar', '811199', 386000, 386000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16789, '75031490', '2004', '16789', '20040511', '20040507', '', 'Pegawai', 'dr Boyke', '811199', 574600, 574600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16790, '59920030', '2004', '16790', '20040511', '20040505', 'Aina Fahrina', 'Isteri', 'dr Jose Roesma', '811199', 484300, 484300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16791, '70010898', '2004', '16791', '20040511', '20040408', '', 'Isteri', 'RS Mary', '811199', 132500, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16792, '67950203', '2004', '16792', '20040511', '20040507', 'Rifqi Nabil Muhammad', 'Anak I', 'Klinik Syarif', '811199', 206000, 206000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16793, '65970472', '2004', '16793', '20040511', '20040510', '', 'Pegawai', 'drg Sanny', '811199', 324000, 324000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16794, '72950364', '2004', '16794', '20040511', '20040505', '', 'Pegawai', 'RS Tria Dipa', '811199', 189000, 189000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16795, '70980570', '2004', '16795', '20040511', '20040504', 'Eer', 'Isteri', 'RS Haji Jakarta', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16796, '64930109', '2004', '16796', '20040511', '20040507', '', 'Pegawai', 'RS Medistra', '811199', 469720, 469720, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16797, '78000693', '2004', '16797', '20040511', '20040501', '', 'Pegawai', 'RSUP Fatmawati', '811199', 126000, 126000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16798, '72980515', '2004', '16798', '20040511', '20040414', '', 'Anak I', 'RS Hermina', '811199', 169170, 169170, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16799, '75021078', '2004', '16799', '20040511', '20040423', '', 'Anak II', 'BKR MKGR', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16800, '17201001', '2004', '16800', '20040511', '20040505', '', 'Anak I', 'RS Puri Cinere', '811199', 191800, 191800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16801, '64000846', '2004', '16801', '20040511', '20040428', '', 'Pegawai', 'Aptk Kencana', '811199', 96700, 96700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16802, '64920046', '2004', '16802', '20040511', '20040506', '', 'Pegawai', 'drg Sri', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16803, '62920060', '2004', '16803', '20040511', '20040430', 'Eni Erlina', 'Isteri', 'drg Tamsil Arief', '811199', 460825, 460825, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16804, '65920033', '2004', '16804', '20040511', '20040506', 'Eti Karyati', 'Isteri', 'dr Suharni', '811199', 105600, 105600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16805, '75990657', '2004', '16805', '20040511', '20040419', '', 'Pegawai', 'RS MMC', '811199', 468714, 468714, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16806, '54099650', '2004', '16806', '20040511', '20040504', 'Aisyah Q.Turjanah', 'Isteri', 'drg Medianto', '811199', 245000, 245000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16807, '67950172', '2004', '16807', '20040511', '20040412', '', 'Pegawai', 'dr Efianti', '811199', 159450, 159450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16808, '68920057', '2004', '16808', '20040511', '20040505', '', 'Anak I', 'RS Puri Cinere', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16809, '72021108', '2004', '16809', '20040511', '20040504', '', 'Isteri', 'dr Willis', '811199', 187500, 187500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16810, '69021141', '2004', '16810', '20040511', '20040508', '', 'Anak I', 'dr Ellen', '811199', 270914, 270914, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16811, '70000684', '2004', '16811', '20040511', '20040504', '', 'Anak I', 'dr Gatami Spa', '811199', 253300, 253300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16812, '69000669', '2004', '16812', '20040511', '20040506', '', 'Anak I', 'dr H Tjetjep', '811199', 88000, 88000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16813, '71940159', '2004', '16813', '20040511', '20040507', '', 'Pegawai', 'RSPI', '811199', 209508, 209508, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16814, '76021236', '2004', '16814', '20040511', '20040504', '', 'Pegawai', 'dr Hermanto', '811199', 148000, 148000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16815, '60980529', '2004', '16815', '20040511', '20040507', '', 'Pegawai', 'RS Medistra', '811199', 433500, 433500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16816, '65960416', '2004', '16816', '20040514', '20040512', 'Meity Muljati', 'Isteri', 'drg M Jenny', '811199', 1250000, 1250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16817, '65920033', '2004', '16817', '20040514', '20040513', 'Eti Karyati', 'Isteri', 'dr Suharni', '811199', 132000, 132000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16818, '62910008', '2004', '16818', '20040514', '20040506', 'Naufal', 'Anak II', 'RSPI', '811199', 532500, 532500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16819, '76980527', '2004', '16819', '20040514', '20040510', '', 'Pegawai', 'RS MMC', '811199', 285000, 285000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16820, '65920048', '2004', '16820', '20040514', '20040513', '', 'Anak I', 'Aptk Artha', '811199', 152000, 152000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16821, '79031739', '2004', '16821', '20040514', '20040506', '', 'Pegawai', 'dr Endang M', '811199', 83900, 83900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16822, '69960401', '2004', '16822', '20040514', '20040508', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul M', '811199', 138000, 138000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16823, '55021244', '2004', '16823', '20040514', '20040510', 'Tisnowati', 'Isteri', 'RS Haji', '811199', 804700, 804700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16824, '61920045', '2004', '16824', '20040514', '20040403', 'Sutirma J.Rosalina', 'Isteri', 'RS Tumbuh Kembang', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16825, '76980517', '2004', '16825', '20040514', '20040506', '', 'Isteri', 'RS Puri Cinere', '811199', 366200, 366200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16826, '79042172', '2004', '16826', '20040514', '20040509', '', 'Isteri', 'RS Tebet', '811199', 73000, 73000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16827, '66010859', '2004', '16827', '20040514', '20040510', 'Maulida A.', 'Anak II', 'dr Santy', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16828, '60032087', '2004', '16828', '20040514', '20040504', '', 'Anak I', 'dr I.Boediman', '811199', 266400, 266400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16829, '64960402', '2004', '16829', '20040514', '20040511', '', 'Pegawai', 'RS Medistra', '811199', 305000, 305000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16830, '69980544', '2004', '16830', '20040514', '20040508', 'Ramadhani Malik Abdillah', 'Anak I', 'RS Hermina', '811199', 161600, 161600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16831, '68920053', '2004', '16831', '20040514', '20040510', 'Syahida Nurrahmah', 'Anak II', 'dr Nancy', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16832, '68950221', '2004', '16832', '20040514', '20040510', '', 'Anak II', 'RS Hermina', '811199', 126672, 126672, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16833, '69000687', '2004', '16833', '20040514', '20040423', '', 'Pegawai', 'RSPI', '811199', 248500, 248500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16834, '79031849', '2004', '16834', '20040514', '20040511', '', 'Pegawai', 'RS Medistra', '811199', 197100, 197100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16835, '61970468', '2004', '16835', '20040514', '20040510', '', 'Pegawai', 'RS Budhi Jaya', '811199', 420200, 314000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16836, '64950185', '2004', '16836', '20040514', '20040510', '', 'Anak I', 'dr H Nana K', '811199', 615000, 615000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16837, '67950213', '2004', '16837', '20040514', '20040505', '', 'Pegawai', 'Klinik Mitra', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16838, '17501895', '2004', '16838', '20040514', '20040502', '', 'Anak I', 'RS Medika Sampurna', '811199', 214200, 214200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16839, '57930113', '2004', '16839', '20040514', '20040424', 'Anggraini Rahayu Widyanti', 'Anak I', 'drg Hendyanti', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16840, '64950219', '2004', '16840', '20040514', '20040509', '', 'Pegawai', 'dr Sri', '811199', 383900, 383900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16841, '77042155', '2004', '16841', '20040514', '20040506', '', 'Pegawai', 'drg Marlina', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16842, '65950196', '2004', '16842', '20040514', '20040512', '', 'Pegawai', 'RS MMC', '811199', 36100, 36100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16843, '66920064', '2004', '16843', '20040514', '20040511', 'M. Eryan', 'Anak I', 'Radytia Medika', '811199', 332000, 332000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16844, '70950204', '2004', '16844', '20040514', '20040510', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'Bidan Sukamti', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16845, '73021081', '2004', '16845', '20040514', '20040508', '', 'Anak I', 'dr H Budhy', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16846, '66970463', '2004', '16846', '20040514', '20040512', '', 'Pegawai', 'drg esnyoto', '811199', 181200, 181200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16847, '72000763', '2004', '16847', '20040514', '20040507', '', 'Pegawai', 'JMC Klinik', '811199', 440000, 440000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16848, '72000772', '2004', '16848', '20040514', '20040508', '', 'Isteri', 'RS Harapan Bunda', '811199', 141400, 141400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16849, '63920052', '2004', '16849', '20040514', '20040510', 'Asti Rizkiana V', 'Isteri', 'RS Mitra Keluarga', '811199', 305600, 305600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16850, '68000709', '2004', '16850', '20040514', '20040508', '', 'Pegawai', 'RS Mitra', '811199', 633400, 633400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16851, '68000752', '2004', '16851', '20040514', '20040511', '', 'Anak II', 'Aptk Aji Waras', '811199', 293800, 293800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16852, '67960411', '2004', '16852', '20040514', '20040511', 'Endang Kuspringati S', 'Isteri', 'RB Citra Ananda', '811199', 189500, 189500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16853, '73042189', '2004', '16853', '20040514', '20040510', '', 'Isteri', 'dr Adiyono', '811199', 488000, 488000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16854, '76030008', '2004', '16854', '20040514', '20040508', '', 'Anak I', 'dr Soerachmo', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16855, '67970470', '2004', '16855', '20040514', '20040428', '', 'Pegawai', 'Ladokgi', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16856, '65960408', '2004', '16856', '20040514', '20040419', '', 'Pegawai', 'drg Jimmy', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16857, '77021138', '2004', '16857', '20040514', '20040512', '', 'Pegawai', 'drg Sam', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16858, '74950226', '2004', '16858', '20040514', '20040505', '', 'Pegawai', 'dr Markus', '811199', 101000, 101000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16859, '50010867', '2004', '16859', '20040514', '20040514', '', 'Isteri', 'Holistic Clinik', '811199', 380500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16860, '55021244', '2004', '16860', '20040514', '20040506', '', 'Pegawai', 'RS Haji', '811199', 255000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16861, '74950226', '2004', '16861', '20040514', '20040512', 'Dewi Firchati', 'Isteri', 'dr M. Mardjono', '811199', 144000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16862, '61970468', '2004', '16862', '20040518', '20040510', '', 'Pegawai', 'RS Budhi Jaya', '811199', 106200, 106200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16863, '67920089', '2004', '16863', '20040518', '20040511', 'Fawwaz Aulia Fadhil', 'Anak I', 'JMC', '811199', 217900, 217900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16864, '70950204', '2004', '16864', '20040518', '20040513', 'Rustini', 'Isteri', 'Bidan Sukamti', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16865, '67970469', '2004', '16865', '20040518', '20040516', '', 'Anak II', 'Klinik LPM', '811199', 248200, 248200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16866, '77021429', '2004', '16866', '20040518', '20040516', '', 'Pegawai', 'RS Mitra Keluarga', '811199', 414000, 414000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16867, '17501895', '2004', '16867', '20040518', '20040517', '', 'Isteri', 'RS Medika Sampurna', '811199', 223700, 223700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16868, '76960435', '2004', '16868', '20040518', '20040514', '', 'Anak I', 'RS Siloam', '811199', 198788, 198788, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16869, '70990586', '2004', '16869', '20040518', '20040515', '', 'Anak I', 'dr Nenie', '811199', 441300, 441300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16870, '75010905', '2004', '16870', '20040518', '20040505', '', 'Pegawai', 'drg Koesmanto', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16871, '64950184', '2004', '16871', '20040518', '20040510', '', 'Pegawai', 'Klinik Armabar', '811199', 490000, 490000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16872, '70970475', '2004', '16872', '20040518', '20040513', '', 'Isteri', 'RS Hermina', '811199', 183000, 183000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16873, '79021076', '2004', '16873', '20040518', '20040513', '', 'Pegawai', 'dr Evelina', '811199', 71000, 71000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16874, '69950162', '2004', '16874', '20040518', '20040516', 'Muhammad Nadhif Judhananto', 'Anak I', 'dr Maria', '811199', 141400, 141400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16875, '66920026', '2004', '16875', '20040518', '20040513', 'Sang Ayu Baktiasih', 'Isteri', 'RS Int,l Bintaro', '811199', 145517, 145517, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16876, '68950221', '2004', '16876', '20040518', '20040515', '', 'Anak II', 'RS Hermina', '811199', 206947, 206947, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16877, '5540008', '2004', '16877', '20040518', '20040506', '', 'Anak III', 'dr Hindra', '811199', 370000, 370000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16878, '74950356', '2004', '16878', '20040518', '20040516', 'Rendy Santoso', 'Anak I', 'Klinik Sentosa', '811199', 53000, 53000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16879, '17101947', '2004', '16879', '20040518', '20040507', '', 'Pegawai', 'RSB Duren Tiga', '811199', 347500, 347500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16880, '79010894', '2004', '16880', '20040518', '20040515', '', 'Pegawai', 'RS Hermina', '811199', 468000, 468000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16881, '63920047', '2004', '16881', '20040518', '20040504', '', 'Isteri', 'dr Handaya', '811199', 137900, 137900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16882, '66920064', '2004', '16882', '20040518', '20040513', 'M. Eryan', 'Anak I', 'Radytia Medika', '811199', 120500, 120500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16883, '77000672', '2004', '16883', '20040518', '20040508', '', 'Pegawai', 'RS Siloam', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16884, '57920024', '2004', '16884', '20040518', '20040504', '', 'Anak I', 'RS Mitra', '811199', 820100, 820100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16885, '69960401', '2004', '16885', '20040518', '20040516', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul M', '811199', 210575, 210575, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16886, '73950170', '2004', '16886', '20040518', '20040118', '', 'Anak I', 'Praktek Cahaya', '811199', 60000, 32000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16887, '66990584', '2004', '16887', '20040518', '20040514', 'Andi Ernawati SE', 'Isteri', 'RS Bunda Jakarta', '811199', 270200, 270200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16888, '72000794', '2004', '16888', '20040518', '20040505', '', 'Pegawai', 'Balai Perdatam', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16889, '67950193', '2004', '16889', '20040518', '20040510', 'Mohammad Hafiz Lintang Nugroho', 'Anak II', 'JMC', '811199', 144000, 144000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16890, '72021050', '2004', '16890', '20040518', '20040515', '', 'Isteri', 'RS Harapan Kita', '811199', 810800, 810800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16891, '68930133', '2004', '16891', '20040518', '20040514', '', 'Pegawai', 'dr Ferdy', '811199', 332500, 124700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16892, '69960401', '2004', '16892', '20040524', '20040522', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul M', '811199', 176100, 176100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16893, '60960384', '2004', '16893', '20040524', '20040519', 'Wayan Martini', 'Isteri', 'RS Hermina', '811199', 211520, 211520, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16894, '65970482', '2004', '16894', '20040524', '20040520', '', 'Pegawai', 'dr Bambang', '811199', 56000, 56000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16895, '79031849', '2004', '16895', '20040524', '20040519', '', 'Pegawai', 'Lab Prodia', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16896, '73099601', '2004', '16896', '20040524', '20040507', '', 'Anak I', 'RS Harapan Bunda', '811199', 101000, 101000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16897, '75000720', '2004', '16897', '20040524', '20040518', '', 'Pegawai', 'dr Karno Suprapto', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16898, '68960412', '2004', '16898', '20040524', '20040517', 'Lily April Juliana Simanjuntak', 'Isteri', 'RSPI', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16899, '74950356', '2004', '16899', '20040524', '20040523', 'Thifal N.', 'Anak II', 'Klinik Sentosa', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16900, '64950185', '2004', '16900', '20040524', '20040521', '', 'Isteri', 'RS Puri Cinere', '811199', 508900, 508900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16901, '65920033', '2004', '16901', '20040524', '20040521', 'Eti Karyati', 'Isteri', 'dr Suharni', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16902, '69021141', '2004', '16902', '20040524', '20040522', '', 'Pegawai', 'dr Herawati', '811199', 280150, 280150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16903, '74031496', '2004', '16903', '20040524', '20040517', '', 'Pegawai', 'RS Cikini', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16904, '69000669', '2004', '16904', '20040524', '20040511', '', 'Anak I', 'dr H Tjetjep', '811199', 39000, 39000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16905, '72000696', '2004', '16905', '20040524', '20040521', 'Teti P.', 'Isteri', 'RS Haji Jakarta', '811199', 126700, 126700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16906, '66920064', '2004', '16906', '20040524', '20040522', 'Sherliana', 'Isteri', 'Radytia Medika', '811199', 301000, 301000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16907, '72099654', '2004', '16907', '20040524', '20040522', '', 'Anak I', 'Klinik JMC', '811199', 461200, 461200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16908, '73000708', '2004', '16908', '20040524', '20040518', '', 'Anak I', 'dr Harry P', '811199', 261072, 261072, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16909, '74970450', '2004', '16909', '20040524', '20040519', '', 'Pegawai', 'RSIA Hermina', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16910, '72000701', '2004', '16910', '20040524', '20040519', '', 'Pegawai', 'dr Awan', '811199', 233800, 233800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16911, '16801865', '2004', '16911', '20040524', '20040515', 'Sulami A.', 'Isteri', 'dr Adrul Muslim', '811199', 118500, 118500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16912, '68950341', '2004', '16912', '20040524', '20040518', '', 'Anak I', 'RS Harapan Kita', '811199', 290000, 290000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16913, '61930128', '2004', '16913', '20040524', '20040522', 'A. Retno M', 'Isteri', 'dr Vivi K', '811199', 911211, 911211, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16914, '72980510', '2004', '16914', '20040524', '20040521', 'M. Nur Muhriza', 'Anak I', 'RS Thamrin', '811199', 291900, 291900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16915, '17501981', '2004', '16915', '20040524', '20040505', '', 'Pegawai', 'RS Saint Carolus', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16916, '69950162', '2004', '16916', '20040524', '20040517', 'Muhammad Nadhif Judhananto', 'Anak I', 'dr Korel Staa', '811199', 416000, 416000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16917, '70950370', '2004', '16917', '20040524', '20040517', '', 'Anak I', 'dr Swatriani S', '811199', 259100, 259100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16918, '59021080', '2004', '16918', '20040524', '20040517', '', 'Pegawai', 'Depok Medika', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16919, '65970482', '2004', '16919', '20040524', '20040514', '', 'Pegawai', 'dr Bambang', '811199', 51000, 51000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16920, '66920035', '2004', '16920', '20040524', '20040514', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 241373, 241373, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16921, '65960399', '2004', '16921', '20040524', '20040511', 'Mariam', 'Isteri', 'dr AC Harun', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16922, '67990636', '2004', '16922', '20040524', '20040329', 'Iqbal Aidina Arridho', 'Anak II', 'RS Hermina', '811199', 1323660, 1049700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16923, '70031507', '2004', '16923', '20040524', '20040518', '', 'Pegawai', 'RS Restu Bunda', '811199', 104200, 104200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16924, '16900803', '2004', '16924', '20040524', '20040517', '', 'Isteri', 'RS Bunda', '811199', 467000, 467000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16925, '75020004', '2004', '16925', '20040524', '20040501', '', 'Isteri', 'drg Budi Susanto', '811199', 248500, 248500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16926, '71960437', '2004', '16926', '20040524', '20040520', 'Rinawati', 'Isteri', 'RS Bunda Auni', '811199', 126200, 126200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16927, '63990637', '2004', '16927', '20040524', '20040517', '', 'Pegawai', 'RS Budhi Asih', '811199', 328500, 328500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16928, '68920053', '2004', '16928', '20040524', '20040516', 'Hafizh Insan A', 'Anak I', 'Klinik Medika', '811199', 67500, 67500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16929, '79031849', '2004', '16929', '20040524', '20040518', '', 'Pegawai', 'RS Medistra', '811199', 308700, 308700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16930, '65000730', '2004', '16930', '20040524', '20040512', '', 'Pegawai', 'dr Johan Knoch', '811199', 394700, 394700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16931, '66920064', '2004', '16931', '20040524', '20040520', 'M. Eryan', 'Anak I', 'dr Rini Teguh', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16932, '17501895', '2004', '16932', '20040524', '20040520', '', 'Isteri', 'RS Medika Sampurna', '811199', 99000, 99000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16933, '66920063', '2004', '16933', '20040524', '20040504', '', 'Pegawai', 'Klinik Mitra Bhakt', '811199', 93500, 93500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16934, '60032087', '2004', '16934', '20040524', '20040517', '', 'Anak I', 'dr I.Boediman', '811199', 167100, 167100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16935, '00030010', '2004', '16935', '20040524', '20040415', '', 'Pegawai', 'RS Islam', '811199', 1510100, 1403100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16936, '66950220', '2004', '16936', '20040527', '20040525', 'Andhika Priyambodu', 'Anak III', 'RS Putra Dalima', '811199', 234500, 234500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16937, '74950226', '2004', '16937', '20040527', '20040524', '', 'Pegawai', 'dr Tan Gek Soan', '811199', 89400, 89400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16938, '70930144', '2004', '16938', '20040527', '20040515', '', 'Anak I', 'RS Medistra', '811199', 336000, 336000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16939, '74000702', '2004', '16939', '20040527', '20040525', '', 'Pegawai', 'RS Medistra', '811199', 340000, 340000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16940, '66000735', '2004', '16940', '20040527', '20040517', '', 'Anak I', 'RSIA Tumbuh Kembang', '811199', 343800, 343800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16941, '71960398', '2004', '16941', '20040527', '20040521', '', 'Anak I', 'dr Zaki', '811199', 379200, 379200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16942, '70950204', '2004', '16942', '20040527', '20040523', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'Bidan Sukamti', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16943, '69950162', '2004', '16943', '20040527', '20040525', 'Sri Hardiastuti', 'Isteri', 'RSPI', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16944, '62920017', '2004', '16944', '20040527', '20040525', '', 'Pegawai', 'Yay Al-Fatah', '811199', 470000, 470000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16945, '77000672', '2004', '16945', '20040527', '20040522', '', 'Pegawai', 'dr Azrul Noor', '811199', 160600, 160600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16946, '66920063', '2004', '16946', '20040527', '20040514', '', 'Pegawai', 'drg Angraini', '811199', 249100, 249100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16947, '73032086', '2004', '16947', '20040527', '20040524', '', 'Pegawai', 'drg Indro', '811199', 167200, 167200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16948, '68021214', '2004', '16948', '20040527', '20040524', '', 'Pegawai', 'RS Graha Medika', '811199', 469000, 469000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16949, '67950203', '2004', '16949', '20040527', '20040523', 'Rifqi Nabil Muhammad', 'Anak I', 'Aptk Raya', '811199', 52000, 52000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16950, '77000678', '2004', '16950', '20040527', '20040525', '', 'Pegawai', 'RSPI', '811199', 546891, 546891, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16951, '75980563', '2004', '16951', '20040527', '20040524', '', 'Pegawai', 'RS Hermina', '811199', 358000, 358000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16952, '72950363', '2004', '16952', '20040527', '20040515', '', 'Anak I', 'RS Medistra', '811199', 336000, 336000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16953, '69000848', '2004', '16953', '20040527', '20040524', 'Tri Harmina Rika Palupi', 'Isteri', 'dr Ruswana A', '811199', 137400, 137400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16954, '72000794', '2004', '16954', '20040527', '20040521', '', 'Pegawai', 'Balai Perdatam', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16955, '69960413', '2004', '16955', '20040527', '20040521', '', 'Pegawai', 'dr Tjutju', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16956, '67950193', '2004', '16956', '20040527', '20040521', 'Mohammad Hafiz Lintang Nugroho', 'Anak II', 'dr Boed S', '811199', 454800, 454800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16957, '77011016', '2004', '16957', '20040527', '20040521', '', 'Pegawai', 'dr Munandar', '811199', 332000, 332000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16958, '59920104', '2004', '16958', '20040527', '20040518', 'Diah Komalasari', 'Isteri', 'RS Mitra Keluarga', '811199', 928000, 928000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16959, '75990580', '2004', '16959', '20040527', '20040519', '', 'Pegawai', 'Pamulang Medical', '811199', 75100, 75100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16960, '63950190', '2004', '16960', '20040527', '20040511', '', 'Pegawai', 'RS Mitra Keluarga', '811199', 1997400, 1997400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16961, '70000717', '2004', '16961', '20040527', '20040514', '', 'Isteri', 'RS Int,l Bintaro', '811199', 279729, 279729, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16962, '70950183', '2004', '16962', '20040527', '20040524', '', 'Pegawai', 'RS Medistra', '811199', 135400, 135400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16963, '71990647', '2004', '16963', '20040527', '20040513', '', 'Anak I', 'RS Harapan Kita', '811199', 239000, 239000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16964, '67970470', '2004', '16964', '20040527', '20040524', '', 'Pegawai', 'dr Titiek', '811199', 66500, 66500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16965, '76970457', '2004', '16965', '20040527', '20040521', 'Dimas P.', 'Anak I', 'dr Kurniawan', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16966, '66920026', '2004', '16966', '20040527', '20040522', 'Sang Ayu Baktiasih', 'Isteri', 'RS Int,l Bintaro', '811199', 271253, 271253, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16967, '75031506', '2004', '16967', '20040527', '20040519', '', 'Pegawai', 'RS Karya Bhakti', '811199', 331600, 331600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16968, '65950196', '2004', '16968', '20040527', '20040524', '', 'Pegawai', 'dr Martha Gultom', '811199', 82100, 82100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16969, '68920057', '2004', '16969', '20040527', '20040522', '', 'Anak I', 'RS Puri Cinere', '811199', 202100, 202100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16970, '71940159', '2004', '16970', '20040527', '20040522', '', 'Pegawai', 'RSPI', '811199', 157866, 157866, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16971, '72950205', '2004', '16971', '20040527', '20040523', 'Rony Romelah', 'Isteri', 'Aptk Cahaya Heru', '811199', 24200, 24200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16972, '75990657', '2004', '16972', '20040527', '20040524', '', 'Pegawai', 'RS MMC', '811199', 523600, 523600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16973, '63000711', '2004', '16973', '20040527', '20040513', 'Inas Fadillah', 'Anak I', 'drg Rita Epitaria', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16974, '67940157', '2004', '16974', '20040527', '20040525', '', 'Anak I', 'RS Evasari', '811199', 211800, 211800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16975, '74950356', '2004', '16975', '20040527', '20040525', '', 'Pegawai', 'Klinik Sentosa', '811199', 46000, 46000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16976, '73010858', '2004', '16976', '20040527', '20040522', '', 'Anak I', 'RS Mitra', '811199', 520900, 520900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16977, '64970460', '2004', '16977', '20040527', '20040526', '', 'Anak I', 'RS Dharma Nugraha', '811199', 406000, 406000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16978, '72980510', '2004', '16978', '20040527', '20040521', '', 'Isteri', 'RS Thamrin', '811199', 298700, 298700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16979, '63970478', '2004', '16979', '20040527', '20040525', '', 'Pegawai', 'dr Bernhard', '811199', 302500, 302500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16980, '72031488', '2004', '16980', '20040527', '20040526', '', 'Pegawai', 'dr Damankus R', '811199', 373125, 373125, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16981, '71042262', '2004', '16981', '20040527', '20040518', '', 'Anak I', 'dr HR Aestono', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16982, '67042241', '2004', '16982', '20040527', '20040506', '', 'Pegawai', 'dr H Arief', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16983, '62970462', '2004', '16983', '20040601', '20040529', '', 'Pegawai', 'RS Mintohardjo', '811199', 221700, 221700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16984, '66950220', '2004', '16984', '20040601', '20040528', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16985, '65920033', '2004', '16985', '20040601', '20040528', 'Sambas Adhiyasa', 'Anak I', 'dr Azwir', '811199', 187000, 187000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16986, '58950188', '2004', '16986', '20040601', '20040528', 'Komerahyatun', 'Isteri', 'dr Agung Prayitno', '811199', 68000, 68000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16987, '70960409', '2004', '16987', '20040601', '20040509', '', 'Pegawai', 'drg Febriyanti', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16988, '70000791', '2004', '16988', '20040601', '20040517', '', 'Anak II', 'RSAB Harapan Kita', '811199', 685500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16989, '65010987', '2004', '16989', '20040601', '20040526', '', 'Anak I', 'aptk Legenda', '811199', 275000, 275000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16990, '68930133', '2004', '16990', '20040601', '20040525', '', 'Anak I', 'RS Int,l Bintaro', '811199', 126000, 126000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16991, '63970464', '2004', '16991', '20040601', '20040527', '', 'Pegawai', 'drg Cut', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16992, '74990649', '2004', '16992', '20040601', '20040425', '', 'Pegawai', 'dr Yanuar', '811199', 65000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16993, '72099654', '2004', '16993', '20040601', '20040527', '', 'Pegawai', 'RS Medistra', '811199', 334600, 334600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16994, '64000846', '2004', '16994', '20040601', '20040527', '', 'Pegawai', 'Ladokgi', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16995, '16801865', '2004', '16995', '20040601', '20040524', '', 'Pegawai', 'dr Nuning', '811199', 152000, 152000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16996, '16801865', '2004', '16996', '20040601', '20040529', '', 'Anak I', 'dr Nuning', '811199', 107000, 107000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16997, '65920033', '2004', '16997', '20040601', '20040527', 'Eti Karyati', 'Isteri', 'dr Suharni', '811199', 136600, 136600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16998, '78042280', '2004', '16998', '20040601', '20040601', '', 'Pegawai', 'Optik Samudra', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16999, '65920018', '2004', '16999', '20040601', '20040528', '', 'Pegawai', 'dr Himawan', '811199', 163000, 163000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17000, '62910013', '2004', '17000', '20040601', '20040530', '', 'Anak I', 'dr Azwir', '811199', 108200, 108200, NULL, NULL, 'A', 'medical')





/* Data for the `MedicalRestitusiDetail` table  (Records 17001 - 17500) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17001, '66010859', '2004', '17001', '20040601', '20040525', 'Pratiti', 'Isteri', 'RS Bhakti Asih', '811199', 283500, 283500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17002, '76021236', '2004', '17002', '20040601', '20040528', '', 'Pegawai', 'dr Hermanto', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17003, '77011035', '2004', '17003', '20040601', '20040527', '', 'Pegawai', 'Klinik Ulujami', '811199', 31000, 31000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17004, '17201001', '2004', '17004', '20040601', '20040529', '', 'Anak II', 'RS Puri Cinere', '811199', 218300, 218300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17005, '73021143', '2004', '17005', '20040601', '20040526', '', 'Isteri', 'Pamulang Medical', '811199', 109700, 109700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17006, '75980563', '2004', '17006', '20040601', '20040527', '', 'Pegawai', 'Aptk Galaxy', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17007, '77011016', '2004', '17007', '20040601', '20040526', '', 'Pegawai', 'dr Rani Noviani', '811199', 578500, 168500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17008, '70950231', '2004', '17008', '20040601', '20040528', '', 'Pegawai', 'drg Endang SS', '811199', 318000, 318000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17009, '52030005', '2004', '17009', '20040601', '20040528', '', 'Anak I', 'dr Jahja', '811199', 192300, 192300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17010, '66920067', '2004', '17010', '20040601', '20040526', 'Deny Waty Djaafar', 'Isteri', 'RS Mitra Int,l', '811199', 461600, 461600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17011, '69960401', '2004', '17011', '20040601', '20040529', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul M', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17012, '76960435', '2004', '17012', '20040601', '20040529', '', 'Anak I', 'RS Siloam', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17013, '72950205', '2004', '17013', '20040601', '20040528', 'Rizqullah Ishaq', 'Anak I', 'RSIA Tumbuh Kembang', '811199', 46700, 46700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17014, '77021067', '2004', '17014', '20040601', '20040527', '', 'Pegawai', 'RS JMC', '811199', 188700, 188700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17015, '16801896', '2004', '17015', '20040601', '20040529', '', 'Pegawai', 'RS Pluit', '811199', 173000, 173000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17016, '67950172', '2004', '17016', '20040601', '20040522', '', 'Pegawai', 'dr Mulyono', '811199', 181700, 181700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17017, '70990648', '2004', '17017', '20040601', '20040530', 'Faizah Rahmah Izzatudini', 'Anak I', 'Aptk Sehat Jaya', '811199', 121000, 121000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17018, '63970464', '2004', '17018', '20040601', '20040531', '', 'Pegawai', 'Ladokgi', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17019, '72031488', '2004', '17019', '20040601', '20040530', '', 'Pegawai', 'dr Marjuki', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17020, '71970498', '2004', '17020', '20040601', '20040524', '', 'Pegawai', 'dr Karno Suprapto', '811199', 391400, 391400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17021, '61920045', '2004', '17021', '20040601', '20040529', 'Sutirma J.Rosalina', 'Isteri', 'RS Tumbuh Kembang', '811199', 421400, 421400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17022, '76980527', '2004', '17022', '20040601', '20040529', '', 'Pegawai', 'RS MMC', '811199', 220400, 220400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17023, '68950221', '2004', '17023', '20040601', '20040529', 'Kevin Tria Nugroho', 'Anak I', 'RS Hermina', '811199', 378500, 378500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17024, '68930133', '2004', '17024', '20040601', '20040523', '', 'Pegawai', 'Medika Bintaro', '811199', 202000, 202000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17025, '79031849', '2004', '17025', '20040601', '20040601', '', 'Pegawai', 'RS Medistra', '811199', 324600, 324600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17026, '72000707', '2004', '17026', '20040601', '20040522', '', 'Anak I', 'dr Endang', '811199', 420000, 420000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17027, '73010858', '2004', '17027', '20040601', '20040529', '', 'Isteri', 'RS Mitra', '811199', 500200, 500200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17028, '68000752', '2004', '17028', '20040601', '20040527', '', 'Anak II', 'Aptk Aji Waras', '811199', 124900, 124900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17029, '70950231', '2004', '17029', '20040601', '20040531', '', 'Pegawai', 'Ladokgi', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17030, '75980563', '2004', '17030', '20040601', '20040529', '', 'Pegawai', 'RS Hermina', '811199', 111000, 111000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17031, '73032086', '2004', '17031', '20040601', '20040528', '', 'Pegawai', 'drg Indro', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17032, '76021258', '2004', '17032', '20040601', '20040524', '', 'Pegawai', 'RS Hermina', '811199', 687700, 687700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17033, '68021246', '2004', '17033', '20040601', '20040513', '', 'Pegawai', 'RS Elisabeth', '811199', 333400, 333400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17034, '76030008', '2004', '17034', '20040601', '20040519', '', 'Anak I', 'dr Soerachmo', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17035, '68021246', '2004', '17035', '20040601', '20040416', '', 'Pegawai', 'dr Mardi Waluyo', '811199', 130000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17036, '69940161', '2004', '17036', '20040601', '20040528', 'Kalista Adjani', 'Anak II', 'dr H Tin', '811199', 63000, 63000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17037, '71950367', '2004', '17037', '20040601', '20040522', '', 'Anak II', 'RS Cikini', '811199', 413300, 413300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17038, '59950195', '2004', '17038', '20040601', '20040512', '', 'Pegawai', 'dr Gunawan', '811199', 214000, 214000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17039, '74950356', '2004', '17039', '20040601', '20040531', 'Thifal N.', 'Anak II', 'Klinik Sentosa', '811199', 245000, 245000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17040, '67940157', '2004', '17040', '20040601', '20040528', '', 'Isteri', 'dr Imansyah', '811199', 148100, 148100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17041, '76042285', '2004', '17041', '20040601', '20040526', '', 'Pegawai', 'dr Aminudin', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17042, '76042270', '2004', '17042', '20040601', '20040528', '', 'Pegawai', 'Klinik Buncit', '811199', 51000, 51000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17043, '60930116', '2004', '17043', '20040607', '20040531', '', 'Anak I', 'RS OMC', '811199', 2109500, 2109500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17044, '72000696', '2004', '17044', '20040607', '20040528', '', 'Pegawai', 'Aptk Dirgantara', '811199', 63500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17045, '63950190', '2004', '17045', '20040607', '20040507', 'Grace Agustina', 'Isteri', 'Klinik Artha Sari', '811199', 345000, 345000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17046, '63950190', '2004', '17046', '20040607', '20040605', '', 'Anak I', 'RSIA Permata  Cibubur', '811199', 70600, 70600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17047, '64930120', '2004', '17047', '20040607', '20040514', '', 'Anak I', 'RSPI', '811199', 783692, 783692, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17048, '70930144', '2004', '17048', '20040607', '20040604', '', 'Pegawai', 'RSPI', '811199', 507147, 507147, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17049, '63990637', '2004', '17049', '20040607', '20040603', 'Hakimah Masfiah', 'Isteri', 'RS Budhi Asih', '811199', 149500, 149500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17050, '72980510', '2004', '17050', '20040607', '20070605', 'M. Nur Muhriza', 'Anak I', 'dr Firmansyah', '811199', 282000, 282000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17051, '64950185', '2004', '17051', '20040607', '20040604', '', 'Anak I', 'RS Puri Cinere', '811199', 133300, 133300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17052, '71000750', '2004', '17052', '20040607', '20040531', '', 'Pegawai', 'Klinik Graha', '811199', 51000, 51000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17053, '77000672', '2004', '17053', '20040607', '20040605', '', 'Pegawai', 'dr Azrul Noor', '811199', 102200, 102200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17054, '66920064', '2004', '17054', '20040607', '20070604', 'M. Eryan', 'Anak I', 'dr Budhy G', '811199', 328000, 328000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17055, '16801865', '2004', '17055', '20040607', '20040605', 'Sulami A.', 'Isteri', 'dr Adrul Muslim', '811199', 217875, 217875, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17056, '63920052', '2004', '17056', '20040607', '20040602', '', 'Pegawai', 'RS Mitra Keluarga', '811199', 948300, 948300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17057, '73032086', '2004', '17057', '20040607', '20040603', '', 'Pegawai', 'drg Indro', '811199', 150300, 150300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17058, '69021141', '2004', '17058', '20040607', '20040603', '', 'Anak I', 'dr Bambang', '811199', 364950, 364950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17059, '63950202', '2004', '17059', '20040607', '20040602', 'Habapusilah', 'Isteri', 'dr Eva', '811199', 103000, 103000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17060, '71011018', '2004', '17060', '20040607', '20040602', '', 'Isteri', 'RS Hermina', '811199', 207700, 207700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17061, '17700818', '2004', '17061', '20040607', '20040601', '', 'Pegawai', 'dr S.P Nurdin', '811199', 52000, 52000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17062, '74031496', '2004', '17062', '20040607', '20040602', '', 'Pegawai', 'RS  YPK', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17063, '65960408', '2004', '17063', '20040607', '20040528', 'Rosmaini', 'Isteri', 'dr Meri', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17064, '68920057', '2004', '17064', '20040607', '20040604', '', 'Anak I', 'RS Puri Cinere', '811199', 578900, 578900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17065, '70950204', '2004', '17065', '20040607', '20040604', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'Bidan Sukamti', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17066, '65920033', '2004', '17066', '20040607', '20040603', 'Eti Karyati', 'Isteri', 'dr Suharni', '811199', 120900, 120900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17067, '72950345', '2004', '17067', '20040607', '20040602', '', 'Pegawai', 'drg Elisabeth', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17068, '81032119', '2004', '17068', '20040607', '20040602', '', 'Pegawai', 'drg Mirma', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17069, '96080022', '2004', '17069', '20040607', '20040601', '', 'Pegawai', 'dr H Herry', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17070, '72000794', '2004', '17070', '20040607', '20040528', '', 'Pegawai', 'drg Agustinus', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17071, '64920046', '2004', '17071', '20040607', '20040601', 'Hastati Purwaningsih', 'Isteri', 'drg Sri', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17072, '74990649', '2004', '17072', '20040607', '20040602', '', 'Pegawai', 'dr Krisna', '811199', 288700, 288700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17073, '68960388', '2004', '17073', '20040607', '20040603', '', 'Anak I', 'Aptk Medistra', '811199', 24800, 24800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17074, '70960393', '2004', '17074', '20040607', '20040524', '', 'Pegawai', 'RS Medistra', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17075, '62910008', '2004', '17075', '20040622', '20040619', 'Naufal', 'Anak II', 'RSPI', '811199', 566800, 566800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17076, '60920075', '2004', '17076', '20040607', '20040426', '', 'Pegawai', 'RS Tumbuh Kembang', '811199', 937700, 254600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17077, '70970480', '2004', '17077', '20040607', '20040528', '', 'Pegawai', 'RSB YPK', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17078, '67950172', '2004', '17078', '20040607', '20040531', '', 'Pegawai', 'THT Ciranjang', '811199', 331100, 331100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17079, '60910007', '2004', '17079', '20040607', '20040325', 'Fhatia Secha Afifsa', 'Anak II', 'drg Yoviana', '811199', 3609000, 249000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17080, '69960401', '2004', '17080', '20040607', '20040601', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul M', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17081, '57980555', '2004', '17081', '20040607', '20040525', 'Enggar Parastri', 'Anak III', 'dr Sri Adi S', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17082, '65980552', '2004', '17082', '20040607', '20040531', '', 'Pegawai', 'dr Yenni', '811199', 743500, 743500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17083, '68960412', '2004', '17083', '20040607', '20040528', '', 'Pegawai', 'dr Jeanne', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17084, '61950175', '2004', '17084', '20040607', '20040529', '', 'Anak III', 'dr Alan', '811199', 123500, 123500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17085, '57990576', '2004', '17085', '20040607', '20040504', 'Sulastini', 'Isteri', 'RS Harum', '811199', 178000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17086, '78021046', '2004', '17086', '20040607', '20040531', '', 'Pegawai', 'Poliklinik Mekarmulia', '811199', 72000, 72000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17087, '67970469', '2004', '17087', '20040607', '20040531', '', 'Pegawai', 'drg Gina', '811199', 250000, 247500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17088, '65000730', '2004', '17088', '20040607', '20040531', 'M.Fakhri S', 'Anak I', 'dr Sandjaja', '811199', 379000, 379000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17089, '59021080', '2004', '17089', '20040607', '20040601', '', 'Anak I', 'dr Erlang', '811199', 152700, 152700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17090, '66970473', '2004', '17090', '20040607', '20040601', '', 'Pegawai', 'MMC', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17091, '66950191', '2004', '17091', '20040607', '20040527', '', 'Anak I', 'RSPI', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17092, '62950197', '2004', '17092', '20040607', '20040517', 'Fauzan Mario Pratama', 'Anak II', 'RS Sarjito', '811199', 246500, 246500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17093, '74031438', '2004', '17093', '20040607', '20040528', '', 'Anak I', 'RSAB Harapan Kita', '811199', 141000, 141000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17094, '74950226', '2004', '17094', '20040607', '20040506', 'Sheza M. A.', 'Anak II', 'dr K Gunawan', '811199', 100800, 100800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17095, '62920060', '2004', '17095', '20040611', '20040605', '', 'Pegawai', 'drg Elizabeth', '811199', 330000, 330000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17096, '69950162', '2004', '17096', '20040611', '20040605', 'Muhammad Nadhif Judhananto', 'Anak I', 'RSPI', '811199', 227800, 227800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17097, '5540008', '2004', '17097', '20040611', '20040604', '', 'Pegawai', 'drg Fandy Irawan', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17098, '60960384', '2004', '17098', '20040611', '20040606', 'Wynsenna Gede Marthas', 'Anak I', 'RS Hermina', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17099, '63990637', '2004', '17099', '20040611', '20040606', 'Abdul Hadi', 'Anak III', 'RS Budhi Asih', '811199', 96500, 96500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17100, '74000792', '2004', '17100', '20040611', '20040529', '', 'Pegawai', 'Klinik Dharma Bhakti', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17101, '27400906', '2004', '17101', '20040611', '20040602', '', 'Anak I', 'dr H Zainal', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17102, '70990648', '2004', '17102', '20040611', '20040604', 'Faizah Rahmah Izzatudini', 'Anak I', 'RS Hermina', '811199', 293840, 293840, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17103, '54099650', '2004', '17103', '20040611', '20040607', '', 'Pegawai', 'RS Medistra', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17104, '16701946', '2004', '17104', '20040611', '20040604', '', 'Pegawai', 'RSCM', '811199', 40000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17105, '75021078', '2004', '17105', '20040611', '20040529', 'Yulia N.', 'Isteri', 'BKR MKGR', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17106, '64970465', '2004', '17106', '20040611', '20040607', '', 'Pegawai', 'JMC', '811199', 260900, 260900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17107, '77042155', '2004', '17107', '20040611', '20040602', '', 'Pegawai', 'dr Ria Kusuma', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17108, '60032087', '2004', '17108', '20040611', '20040601', '', 'Anak I', 'dr Afriati', '811199', 182000, 182000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17109, '70000684', '2004', '17109', '20040611', '20040607', 'Evi Lestari Mardiati', 'Isteri', 'dr Gatami SpA', '811199', 376400, 376400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17110, '64010984', '2004', '17110', '20040611', '20040607', '', 'Anak I', 'dr Budi', '811199', 209700, 209700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17111, '57910014', '2004', '17111', '20040611', '20040608', 'Al Amin Syamshe Fajar', 'Anak III', 'dr Yacob', '811199', 207000, 207000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17112, '81031469', '2004', '17112', '20040611', '20040608', '', 'Pegawai', 'dr Erwin', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17113, '70960409', '2004', '17113', '20040611', '20040608', '', 'Pegawai', 'RS Hermina', '811199', 445360, 445360, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17114, '77021433', '2004', '17114', '20040611', '20040607', '', 'Anak I', 'dr Haji Umi Barokah', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17115, '74950226', '2004', '17115', '20040611', '20040608', 'Syifa Ghallyah', 'Anak I', 'dr Tan Gek Soan', '811199', 134800, 134800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17116, '68960412', '2004', '17116', '20040611', '20040523', 'Michelle Shan C.', 'Anak I', 'Klinik Tiara', '811199', 182500, 182500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17117, '68960412', '2004', '17117', '20040611', '20040604', '', 'Pegawai', 'drg Ratna', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17118, '65960416', '2004', '17118', '20040611', '20040602', '', 'Anak I', 'RS Azra', '811199', 612900, 612900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17119, '67980526', '2004', '17119', '20040611', '20040529', 'Ahmad Faishal Annas', 'Anak I', 'RS Hermina', '811199', 254396, 254396, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17120, '73000708', '2004', '17120', '20040611', '20040604', '', 'Anak I', 'dr Harry P', '811199', 503500, 503500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17121, '70950214', '2004', '17121', '20040611', '20040602', '', 'Anak I', 'dr Dawam', '811199', 395700, 395700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17122, '17301957', '2004', '17122', '20040611', '20040528', '', 'Anak I', 'dr Aries', '811199', 494070, 494070, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17123, '66970473', '2004', '17123', '20040611', '20040607', '', 'Anak I', 'RS Gandaria', '811199', 180800, 180800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17124, '71042262', '2004', '17124', '20040611', '20040607', '', 'Anak I', 'dr H Bachtin', '811199', 111700, 111700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17125, '70010898', '2004', '17125', '20040611', '20040602', 'Anindya F.', 'Anak I', 'RS Permata Cibubur', '811199', 186000, 186000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17126, '65960408', '2004', '17126', '20040611', '20040607', 'Rosmaini', 'Isteri', 'dr Adi Gunadi', '811199', 397000, 397000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17127, '76021052', '2004', '17127', '20040611', '20040609', '', 'Pegawai', 'RS Hermina', '811199', 274300, 274300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17128, '79030001', '2004', '17128', '20040611', '20040601', '', 'Pegawai', 'dr Tety', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17129, '69960413', '2004', '17129', '20040611', '20040608', '', 'Pegawai', 'Jakarta Eye Center', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17130, '74021101', '2004', '17130', '20040611', '20040514', '', 'Isteri', 'RS JMC', '811199', 76200, 76200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17131, '73010870', '2004', '17131', '20040611', '20040629', '', 'Pegawai', 'ENT Center', '811199', 444000, 444000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17132, '69960396', '2004', '17132', '20040611', '20040609', '', 'Anak I', 'RS Puri Medika', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17133, '76030008', '2004', '17133', '20040611', '20040608', '', 'Isteri', 'dr Soerachmo', '811199', 81400, 81400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17134, '65960416', '2004', '17134', '20040611', '20040609', '', 'Anak I', 'dr E Yazid', '811199', 185300, 185300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17135, '65950169', '2004', '17135', '20040611', '20040526', '', 'Anak I', 'RS Puri Cinere', '811199', 137400, 137400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17136, '64950219', '2004', '17136', '20040611', '20040607', '', 'Pegawai', 'dr Djoko', '811199', 820000, 820000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17137, '63970478', '2004', '17137', '20040611', '20040614', '', 'Pegawai', 'dr Bernhard', '811199', 339200, 229200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17138, '65920018', '2004', '17138', '20040611', '20040610', 'Irvansyah Firdaus', 'Anak II', 'dr Himawan', '811199', 158000, 158000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17139, '70990648', '2004', '17139', '20040611', '20040605', 'Faizah Rahmah Izzatudini', 'Anak I', 'RS Hermina', '811199', 149720, 149720, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17140, '74021263', '2004', '17140', '20040611', '20040609', '', 'Anak I', 'dr Natalina', '811199', 268800, 268800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17141, '56950201', '2004', '17141', '20040611', '20040608', '', 'Pegawai', 'dr Yacob', '811199', 86000, 86000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17142, '79031849', '2004', '17142', '20040611', '20040611', '', 'Pegawai', 'RS Medistra', '811199', 251100, 251100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17143, '65920033', '2004', '17143', '20040614', '20040611', 'Eti Karyati', 'Isteri', 'dr Suharni', '811199', 101900, 101900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17144, '63970476', '2004', '17144', '20040614', '20040604', '', 'Pegawai', 'drg Abdoellah', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17145, '16900803', '2004', '17145', '20040614', '20040610', '', 'Isteri', 'RS Bunda', '811199', 375000, 375000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17146, '17101947', '2004', '17146', '20040614', '20040527', '', 'Isteri', 'RSB Duren Tiga', '811199', 449450, 449450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17147, '72000772', '2004', '17147', '20040614', '20040608', '', 'Pegawai', 'Yay Warbech', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17148, '68000752', '2004', '17148', '20040614', '20040612', 'Sri Siswanti SH', 'Isteri', 'RSPI', '811199', 576836, 576836, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17149, '69960401', '2004', '17149', '20040614', '20040612', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul M', '811199', 530700, 530700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17150, '61950175', '2004', '17150', '20040614', '20040610', '', 'Anak III', 'RS Tumbuh Kembang', '811199', 140500, 140500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17151, '66920026', '2004', '17151', '20040614', '20040605', 'Sang Ayu Baktiasih', 'Isteri', 'RS Int,l Bintaro', '811199', 196436, 196436, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17152, '71940159', '2004', '17152', '20040614', '20040611', '', 'Pegawai', 'RSPI', '811199', 742402, 742402, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17153, '58950188', '2004', '17153', '20040614', '20040610', 'Komerahyatun', 'Isteri', 'dr Soemardi', '811199', 202900, 202900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17154, '62920060', '2004', '17154', '20040617', '20040616', '', 'Pegawai', 'drg Elizabeth', '811199', 315000, 315000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17155, '17501895', '2004', '17155', '20040617', '20040602', '', 'Anak I', 'Aptk Masnaga', '811199', 209500, 209500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17156, '66950355', '2004', '17156', '20040617', '20040615', '', 'Isteri', 'Sam Marie', '811199', 182500, 182500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17157, '72950223', '2004', '17157', '20040617', '20040615', '', 'Pegawai', 'dr M Tatang', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17158, '70000806', '2004', '17158', '20040617', '20040605', '', 'Pegawai', 'RSPI', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17159, '76980527', '2004', '17159', '20040617', '20040614', '', 'Pegawai', 'RS MMC', '811199', 353900, 7400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17160, '76980527', '2004', '17160', '20040617', '20040610', '', 'Pegawai', 'Makmal Terpadu', '811199', 1850000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17161, '60960384', '2004', '17161', '20040617', '20040616', 'Wayan Martini', 'Isteri', 'dr Gunawan', '811199', 109600, 109600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17162, '69000687', '2004', '17162', '20040617', '20040529', '', 'Pegawai', 'RS Aini', '811199', 223800, 223800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17163, '63950190', '2004', '17163', '20040617', '20040611', 'Grace Agustina', 'Isteri', 'dr Eva Y', '811199', 240000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17164, '70960409', '2004', '17164', '20040617', '20040615', '', 'Pegawai', 'RS Hermina', '811199', 188150, 188150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17165, '66970463', '2004', '17165', '20040617', '20040615', '', 'Pegawai', 'drg esnyoto', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17166, '69960401', '2004', '17166', '20040617', '20040614', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul M', '811199', 216500, 216500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17167, '66970473', '2004', '17167', '20040617', '20040611', '', 'Anak I', 'Yay Bina Sehat', '811199', 136000, 136000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17168, '72950345', '2004', '17168', '20040617', '20040614', '', 'Pegawai', 'RS Medistra', '811199', 265000, 265000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17169, '65950169', '2004', '17169', '20040617', '20040226', '', 'Anak I', 'RS Puri Cinere', '811199', 321700, 201700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17170, '74000702', '2004', '17170', '20040617', '20040616', '', 'Pegawai', 'RSB YPK', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17171, '72000703', '2004', '17171', '20040617', '20040605', '', 'Pegawai', 'dr Ira Indriasari', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17172, '57930146', '2004', '17172', '20040617', '20040605', '', 'Anak I', 'RS Dharma Nugraha', '811199', 273000, 273000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17173, '70031507', '2004', '17173', '20040617', '20040610', '', 'Pegawai', 'dr H Koesprapto', '811199', 171000, 171000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17174, '50950207', '2004', '17174', '20040617', '20040612', 'Ira Maya S', 'Anak III', 'dr Kemal', '811199', 197900, 197900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17175, '60950353', '2004', '17175', '20040617', '20040608', '', 'Anak I', 'RS Int,l Bintaro', '811199', 181695, 181695, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17176, '65010987', '2004', '17176', '20040617', '20040609', '', 'Anak I', 'Aptk Legenda', '811199', 38000, 38000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17177, '68930133', '2004', '17177', '20040617', '20040605', '', 'Anak I', 'RS Int.l Bintaro', '811199', 301000, 72000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17178, '65930147', '2004', '17178', '20040617', '20040614', 'Kristina Nursanti', 'Isteri', 'RS Yadika', '811199', 1019000, 1019000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17179, '62910013', '2004', '17179', '20040617', '20040611', '', 'Anak I', 'dr Azwir', '811199', 275700, 275700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17180, '17201001', '2004', '17180', '20040617', '20040614', '', 'Anak II', 'RS Puri Cinere', '811199', 567700, 567700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17181, '75021078', '2004', '17181', '20040617', '20040612', 'Yulia N.', 'Isteri', 'BKR MKGR', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17182, '75021078', '2004', '17182', '20040617', '20040615', '', 'Pegawai', 'BKR MKGR', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17183, '75000720', '2004', '17183', '20040617', '20040614', '', 'Pegawai', 'dr Karno Suprapto', '811199', 172300, 172300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17184, '66920035', '2004', '17184', '20040617', '20040612', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 431641, 431641, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17185, '70980570', '2004', '17185', '20040617', '20040604', 'Eer', 'Isteri', 'RS Haji Jakarta', '811199', 138200, 138200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17186, '65970482', '2004', '17186', '20040617', '20040615', '', 'Pegawai', 'dr Amru H', '811199', 340500, 340500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17187, '68960412', '2004', '17187', '20040617', '20040608', 'Michelle Shan C.', 'Anak I', 'Klinik Tiara', '811199', 298500, 298500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17188, '62920060', '2004', '17188', '20040617', '20040612', '', 'Anak II', 'drg Elizabeth', '811199', 615000, 615000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17189, '63970464', '2004', '17189', '20040617', '20040615', '', 'Pegawai', 'RS MMC', '811199', 483000, 483000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17190, '67960411', '2004', '17190', '20040617', '20040614', '', 'Pegawai', 'Klinik Harapan Bunda', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17191, '66990584', '2004', '17191', '20040617', '20040611', 'Andi Ernawati SE', 'Isteri', 'dr Sofie', '811199', 151100, 151100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17192, '76021236', '2004', '17192', '20040617', '20040615', '', 'Pegawai', 'Bidan Sri Rochmani', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17193, '63970483', '2004', '17193', '20040622', '20040611', '', 'Anak I', 'dr Yulianto', '811199', 457500, 457500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17194, '69021047', '2004', '17194', '20040622', '20040612', '', 'Anak I', 'dr Raddy', '811199', 225000, 225000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17195, '65960399', '2004', '17195', '20040622', '20040610', 'Mariam', 'Isteri', 'dr Gunawan', '811199', 248000, 248000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17196, '64950219', '2004', '17196', '20040622', '20040621', '', 'Pegawai', 'dr Djoko', '811199', 351800, 351800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17197, '61970468', '2004', '17197', '20040622', '20040621', '', 'Anak I', 'dr A Aris', '811199', 79000, 79000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17198, '72021050', '2004', '17198', '20040622', '20040609', '', 'Pegawai', 'RS Harapan Bunda', '811199', 642800, 642800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17199, '5203005', '2004', '17199', '20040622', '20040619', '', 'Pegawai', 'dr Titi Moertolo', '811199', 381100, 381100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17200, '79031739', '2004', '17200', '20040622', '20040529', '', 'Pegawai', 'S C Kurniati', '811199', 135800, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17201, '76030008', '2004', '17201', '20040622', '20040617', '', 'Anak I', 'dr Soerachmo', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17202, '55021244', '2004', '17202', '20040622', '20040621', 'Tisnowati', 'Isteri', 'RS Haji', '811199', 117500, 117500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17203, '73970495', '2004', '17203', '20040622', '20040611', '', 'Pegawai', 'RS MMC', '811199', 183000, 183000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17204, '60930108', '2004', '17204', '20040622', '20040607', '', 'Pegawai', 'dr Dina', '811199', 181300, 181300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17205, '68950371', '2004', '17205', '20040622', '20040621', '', 'Pegawai', 'RS Medistra', '811199', 310300, 310300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17206, '69950162', '2004', '17206', '20040622', '20040618', 'Muhammad Nadhif Judhananto', 'Anak I', 'RSPI', '811199', 416000, 416000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17207, '71970456', '2004', '17207', '20040622', '20040524', '', 'Pegawai', 'Aptk Century', '811199', 172900, 172900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17208, '57930146', '2004', '17208', '20040622', '20040618', '', 'Anak I', 'RS Dharma Nugraha', '811199', 568000, 568000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17209, '67960411', '2004', '17209', '20040622', '20040618', 'Achmad Rizki Noversi', 'Anak I', 'Klinik Harapan Bunda', '811199', 201000, 201000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17210, '79010904', '2004', '17210', '20040622', '20040619', '', 'Pegawai', 'drg Hadi W Lukman', '811199', 450000, 450000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17211, '67940157', '2004', '17211', '20040622', '20040615', '', 'Anak I', 'dr Husein Alatas', '811199', 394600, 394600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17212, '17501981', '2004', '17212', '20040622', '20040608', '', 'Pegawai', 'RS Saint Carolus', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17213, '64950185', '2004', '17213', '20040622', '20040524', '', 'Anak I', 'dr H Nana K', '811199', 153000, 153000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17214, '59920104', '2004', '17214', '20040622', '20040531', 'Abraham Setiawan', 'Anak I', 'RS Mitra Keluarga', '811199', 322300, 322300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17215, '17301957', '2004', '17215', '20040622', '20040604', '', 'Anak I', 'dr Med.Kelly Munazar', '811199', 127500, 127500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17216, '57930113', '2004', '17216', '20040622', '20040602', 'Dewi Marlini', 'Isteri', 'RSPI', '811199', 749322, 749322, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17217, '70010898', '2004', '17217', '20040622', '20040522', 'Anindya F.', 'Anak I', 'dr Meri', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17218, '70010898', '2004', '17218', '20040622', '20040616', 'Anindya F.', 'Anak I', 'dr Meri', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17219, '58000807', '2004', '17219', '20040622', '20040606', 'Fitria', 'Anak I', 'dr Rivai Usman', '811199', 230000, 230000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17220, '59950195', '2004', '17220', '20040622', '20040611', 'Lisbet Morliner', 'Isteri', 'dr Gunawan', '811199', 595720, 595720, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17221, '81031469', '2004', '17221', '20040622', '20040605', '', 'Pegawai', 'drg Bastian', '811199', 600000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17222, '81031469', '2004', '17222', '20040622', '20040612', '', 'Pegawai', 'drg Bastian', '811199', 600000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17223, '76980517', '2004', '17223', '20040622', '20040615', '', 'Isteri', 'RS Puri Cinere', '811199', 226100, 226100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17224, '71000750', '2004', '17224', '20040622', '20040617', '', 'Pegawai', 'Klinik Graha', '811199', 156000, 156000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17225, '73010858', '2004', '17225', '20040622', '20040615', '', 'Anak I', 'RS Mitra', '811199', 895400, 895400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17226, '72021108', '2004', '17226', '20040622', '20040612', '', 'Anak I', 'dr B Ismu', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17227, '74031476', '2004', '17227', '20040622', '20040617', '', 'Pegawai', 'RS JMC', '811199', 687500, 687500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17228, '72000772', '2004', '17228', '20040622', '20040617', '', 'Isteri', 'RS Harapan Bunda', '811199', 203000, 203000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17229, '72099654', '2004', '17229', '20040622', '20040616', '', 'Anak I', 'Aptk AjiWaras', '811199', 102000, 102000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17230, '80021417', '2004', '17230', '20040622', '20040616', '', 'Pegawai', 'RS Dharmais', '811199', 226800, 226800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17231, '75020001', '2004', '17231', '20040622', '20040615', '', 'Pegawai', 'dr Gayanti', '811199', 151500, 151500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17232, '00030010', '2004', '17232', '20040622', '20040616', '', 'Pegawai', 'RSPAD Gatsub', '811199', 1030700, 1030700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17233, '63990637', '2004', '17233', '20040622', '20040617', 'Imaduddin A.R', 'Anak I', 'RB Sejahtera', '811199', 165800, 165800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17234, '66990584', '2004', '17234', '20040622', '20040618', 'Andi Ernawati SE', 'Isteri', 'dr Sofie', '811199', 206000, 206000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17235, '73021081', '2004', '17235', '20040622', '20040613', '', 'Anak I', 'RS Hermina', '811199', 142200, 142200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17236, '58950188', '2004', '17236', '20040622', '20040616', 'Komerahyatun', 'Isteri', 'dr Sumardi', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17237, '63950190', '2004', '17237', '20040622', '20040531', 'Grace Agustina', 'Isteri', 'dr Eva Y', '811199', 220000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17238, '60032087', '2004', '17238', '20040622', '20040616', '', 'Anak I', 'dr Afriati', '811199', 224000, 224000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17239, '76980527', '2004', '17239', '20040622', '20040614', '', 'Pegawai', 'RS MMC', '811199', 346500, 346500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17240, '72000696', '2004', '17240', '20040622', '20040528', '', 'Pegawai', 'Aptk Dirgantara', '811199', 63500, 63500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17241, '72000701', '2004', '17241', '20040625', '20040623', 'Desi Mirdasari', 'Isteri', 'RS Mitra Internasional', '811199', 487300, 487300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17242, '78990600', '2004', '17242', '20040625', '20040623', '', 'Pegawai', 'RS Medistra', '811199', 325200, 306690, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17243, '68960412', '2004', '17243', '20040625', '20040616', 'Michelle Shan C.', 'Anak I', 'Klinik Satiti', '811199', 280500, 280500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17244, '61930122', '2004', '17244', '20040625', '20040619', 'Nina', 'Isteri', 'dr Zulfahmi', '811199', 42000, 42000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17245, '65960408', '2004', '17245', '20040625', '20040620', '', 'Pegawai', 'dr Adi Gunadi', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17246, '68920057', '2004', '17246', '20040625', '20040618', '', 'Anak I', 'RS Puri Cinere', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17247, '63970464', '2004', '17247', '20040625', '20040623', '', 'Pegawai', 'drg esnyoto', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17248, '74000719', '2004', '17248', '20040625', '20040614', '', 'Pegawai', 'drg Gina Rovianty', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17249, '77021067', '2004', '17249', '20040625', '20040624', '', 'Pegawai', 'RS JMC', '811199', 604800, 604800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17250, '77000672', '2004', '17250', '20040625', '20040610', '', 'Pegawai', 'RS Siloam', '811199', 113600, 113600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17251, '66920064', '2004', '17251', '20040625', '20040621', 'M. Eryan', 'Anak I', 'Raditya Medical', '811199', 123500, 123500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17252, '77021138', '2004', '17252', '20040625', '20040622', '', 'Pegawai', 'drg Gunawan', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17253, '70970480', '2004', '17253', '20040625', '20040624', '', 'Pegawai', 'RSB YPK', '811199', 692000, 559300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17254, '70960409', '2004', '17254', '20040625', '20040622', '', 'Pegawai', 'RS Hermina', '811199', 208150, 208150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17255, '64930109', '2004', '17255', '20040625', '20040621', '', 'Pegawai', 'RS Hermina', '811199', 909870, 909870, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17256, '79010894', '2004', '17256', '20040625', '20040601', '', 'Pegawai', 'dr Sri Supriyati', '811199', 300700, 300700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17257, '62920017', '2004', '17257', '20040625', '20040622', 'Hadidjah Sansono', 'Isteri', 'dr Walinton', '811199', 208000, 208000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17258, '63920052', '2004', '17258', '20040625', '20040623', 'Asti Rizkiana V', 'Isteri', 'RS MItra Keluarga', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17259, '67950172', '2004', '17259', '20040625', '20040623', '', 'Pegawai', 'RS Permata Cibubur', '811199', 533500, 533500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17260, '60970474', '2004', '17260', '20040625', '20040618', '', 'Pegawai', 'dr Januar', '811199', 315000, 315000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17261, '64970465', '2004', '17261', '20040625', '20040622', '', 'Pegawai', 'JMC', '811199', 79400, 79400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17262, '68950174', '2004', '17262', '20040625', '20040615', '', 'Pegawai', 'RS St Elisabeth', '811199', 302700, 302700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17263, '61950175', '2004', '17263', '20040625', '20040622', 'Sri Wahyuni', 'Isteri', 'drg Cynthiawati', '811199', 370000, 370000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17264, '67950193', '2004', '17264', '20040625', '20040622', 'Mohammad Hafiz Lintang Nugroho', 'Anak II', 'RS MMC', '811199', 140400, 140400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17265, '81032119', '2004', '17265', '20040625', '20040619', '', 'Pegawai', 'dr Supranoto', '811199', 243000, 243000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17266, '69980544', '2004', '17266', '20040625', '20040619', 'Ramadhani Malik Abdillah', 'Anak I', 'RS Hermina', '811199', 136000, 136000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17267, '65920033', '2004', '17267', '20040625', '20040622', 'Eti Karyati', 'Isteri', 'dr Suharni', '811199', 302100, 302100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17268, '63920047', '2004', '17268', '20040625', '20040526', '', 'Isteri', 'dr Handaya', '811199', 147700, 147700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17269, '65960416', '2004', '17269', '20040625', '20040622', '', 'Anak I', 'dr E Yazid', '811199', 322500, 322500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17270, '63970478', '2004', '17270', '20040625', '20040604', '', 'Pegawai', 'Klinik PMC', '811199', 105500, 105500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17271, '70010898', '2004', '17271', '20040625', '20040618', 'Anindya F.', 'Anak I', 'RS Permata Cibubur', '811199', 272000, 272000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17272, '68950221', '2004', '17272', '20040625', '20040621', '', 'Anak II', 'RS Hermina', '811199', 174950, 174950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17273, '66000735', '2004', '17273', '20040625', '20040610', '', 'Pegawai', 'dr Edy', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17274, '67960411', '2004', '17274', '20040625', '20040623', '', 'Pegawai', 'Klinik Harapan Bunda', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17275, '66950355', '2004', '17275', '20040625', '20040623', '', 'Isteri', 'RS Budhi Jaya', '811199', 243000, 243000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17276, '73021143', '2004', '17276', '20040625', '20040531', '', 'Pegawai', 'Aptk lden', '811199', 48800, 48800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17277, '67970470', '2004', '17277', '20040629', '20040628', '', 'Pegawai', 'dr Titiek', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17278, '71970498', '2004', '17278', '20040629', '20040607', '', 'Pegawai', 'dr Kustiani Onie', '811199', 154000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17279, '71042262', '2004', '17279', '20040629', '20040623', '', 'Isteri', 'dr Muslich', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17280, '73042189', '2004', '17280', '20040629', '20040611', '', 'Isteri', 'dr Adiyono', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17281, '76980517', '2004', '17281', '20040629', '20040622', 'Fathya A.W.', 'Anak I', 'RS Puri Cinere', '811199', 188100, 188100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17282, '74950226', '2004', '17282', '20040629', '20040625', 'Sheza M. A.', 'Anak II', 'dr Tan Gek Soan', '811199', 259400, 259400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17283, '76960435', '2004', '17283', '20040629', '20040626', '', 'Anak I', 'RS Siloam', '811199', 243913, 243913, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17284, '75990602', '2004', '17284', '20040629', '20040625', '', 'Pegawai', 'dr Lely M', '811199', 166000, 166000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17285, '68950371', '2004', '17285', '20040629', '20040625', 'Amarthya', 'Anak I', 'RSB Asih', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17286, '67950203', '2004', '17286', '20040629', '20040625', 'Salsabila Shafira', 'Anak II', 'Aptk Raya', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17287, '70950214', '2004', '17287', '20040629', '20040617', 'Pratiwi Hadi', 'Isteri', 'dr Dawam', '811199', 102000, 102000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17288, '69960396', '2004', '17288', '20040629', '20040624', '', 'Anak I', 'RS Puri Medika', '811199', 117000, 117000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17289, '17702001', '2004', '17289', '20040629', '20040626', '', 'Pegawai', 'JMC', '811199', 317700, 317700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17290, '69021141', '2004', '17290', '20040629', '20040626', '', 'Anak I', 'dr Ellen', '811199', 383500, 383500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17291, '79010894', '2004', '17291', '20040629', '20040619', '', 'Pegawai', 'dr Sri Supriyati', '811199', 259000, 259000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17292, '69950162', '2004', '17292', '20040629', '20040623', '', 'Pegawai', 'RS Siaga Raya', '811199', 261800, 261800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17293, '76980527', '2004', '17293', '20040629', '20040610', '', 'Pegawai', 'Makmal Terpadu', '811199', 1850000, 1850000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17294, '68950174', '2004', '17294', '20040629', '20040624', '', 'Pegawai', 'dr Seyatmi', '811199', 204000, 204000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17295, '75021066', '2004', '17295', '20040629', '20040624', '', 'Pegawai', 'RS Tebet', '811199', 326050, 326050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17296, '68960412', '2004', '17296', '20040629', '20040621', '', 'Pegawai', 'Klinik Tiara', '811199', 102750, 102750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17297, '68960412', '2004', '17297', '20040629', '20040616', '', 'Pegawai', 'Klinik Tiara', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17298, '71930148', '2004', '17298', '20040629', '20040626', '', 'Pegawai', 'RS Jakarta', '811199', 317700, 317700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17299, '64950184', '2004', '17299', '20040629', '20040615', 'Annisaa Sharinka Chandrawasih', 'Anak II', 'Klinik Armabar', '811199', 781000, 781000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17300, '81042279', '2004', '17300', '20040629', '20040625', '', 'Pegawai', 'Bandung Optik', '811199', 550000, 468500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17301, '67042241', '2004', '17301', '20040629', '20040624', '', 'Anak I', 'dr Asril Anas', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17302, '71990599', '2004', '17302', '20040629', '20040625', '', 'Pegawai', 'dr Leo Gustono', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17303, '59950195', '2004', '17303', '20040629', '20040626', '', 'Pegawai', 'JEC', '811199', 285000, 285000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17304, '69000848', '2004', '17304', '20040629', '20040404', '', 'Pegawai', 'Klinik Tata Sehat', '811199', 319190, 279190, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17305, '65920039', '2004', '17305', '20040629', '20040628', '', 'Anak I', 'RS Int,l Bintaro', '811199', 565800, 565800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17306, '67950203', '2004', '17306', '20040629', '20040628', '', 'Pegawai', 'Klinik IAIN', '811199', 98500, 98500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17307, '74950356', '2004', '17307', '20040629', '20040617', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 118000, 118000, NULL, NULL, 'A', 'medical')



INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17308, '68960388', '2004', '17308', '20040629', '20040629', '', 'Anak I', 'aptk Warung Buncit', '811199', 22100, 22100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17309, '70000806', '2004', '17309', '20040629', '20040617', '', 'Pegawai', 'RS Puri Cinere', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17310, '68920053', '2004', '17310', '20040629', '20040618', 'Hafizh Insan A', 'Anak I', 'dr Nancy', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17311, '71011018', '2004', '17311', '20040629', '20040623', '', 'Isteri', 'RS Hermina', '811199', 207050, 207050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17312, '65980564', '2004', '17312', '20040629', '20040623', '', 'Pegawai', 'Ladogki', '811199', 353000, 353000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17313, '70031507', '2004', '17313', '20040706', '20040702', '', 'Anak I', 'drg Muslina', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17314, '67920065', '2004', '17314', '20040706', '20040625', '', 'Pegawai', 'dr Herman', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17315, '61920045', '2004', '17315', '20040706', '20040605', 'Sutirma J.Rosalina', 'Isteri', 'RS Tumbuh Kembang', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17316, '70960409', '2004', '17316', '20040706', '20040701', '', 'Pegawai', 'RS Hermina', '811199', 206800, 206800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17317, '64950185', '2004', '17317', '20040706', '20040701', '', 'Anak I', 'dr H Nana K', '811199', 695000, 695000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17318, '81031469', '2004', '17318', '20040706', '20040612', '', 'Pegawai', 'drg Bastian', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17319, '66920106', '2004', '17319', '20040706', '20040701', 'Fitriani', 'Isteri', 'Bdn Enak', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17320, '16801865', '2004', '17320', '20040706', '20040626', 'Sulami A.', 'Isteri', 'dr Adrul Muslim', '811199', 195100, 195100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17321, '79042172', '2004', '17321', '20040706', '20040701', '', 'Isteri', 'RSB Duren Tiga', '811199', 158500, 158500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17322, '61970468', '2004', '17322', '20040706', '20040703', '', 'Anak I', 'RS Budhi Jaya', '811199', 201800, 201800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17323, '73099601', '2004', '17323', '20040706', '20040630', '', 'Pegawai', 'Klinik Limus', '811199', 80300, 80300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17324, '74000719', '2004', '17324', '20040706', '20040628', '', 'Pegawai', 'RS Permata Cibubur', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17325, '58000840', '2004', '17325', '20040706', '20040630', '', 'Pegawai', 'dr M Santoso', '811199', 301000, 301000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17326, '73021088', '2004', '17326', '20040706', '20040701', '', 'Anak I', 'dr Yuni', '811199', 174700, 174700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17327, '52030005', '2004', '17327', '20040706', '20040629', '', 'Anak I', 'dr Jahja', '811199', 260480, 203807, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17328, '17601989', '2004', '17328', '20040706', '20040630', '', 'Pegawai', 'RB Alvernia Agusta', '811199', 376300, 376300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17329, '74970450', '2004', '17329', '20040706', '20040630', '', 'Pegawai', 'RSIA Hermina', '811199', 936500, 936500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17330, '70000961', '2004', '17330', '20040706', '20040630', '', 'Pegawai', 'Fkg UI', '811199', 515000, 515000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17331, '17601989', '2004', '17331', '20040706', '20040604', '', 'Pegawai', 'RS Alvernia Agusta', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17332, '66950220', '2004', '17332', '20040706', '20040629', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 132000, 132000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17333, '70000684', '2004', '17333', '20040706', '20040623', '', 'Anak I', 'dr Gatami SpA', '811199', 240200, 240200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17334, '69940161', '2004', '17334', '20040706', '20040630', 'Kalista Adjani', 'Anak II', 'dr H Tin', '811199', 100800, 100800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17335, '64920046', '2004', '17335', '20040706', '20040627', '', 'Pegawai', 'drg Sri', '811199', 281900, 281900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17336, '68000709', '2004', '17336', '20040706', '20040626', '', 'Isteri', 'RS Hermina', '811199', 263725, 263725, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17337, '61021212', '2004', '17337', '20040706', '20040705', '', 'Anak I', 'Klinik Karina', '811199', 166000, 166000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17338, '65920018', '2004', '17338', '20040706', '20040629', 'Deny Firmansyah', 'Anak I', 'dr Himawan', '811199', 150500, 150500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17339, '73021081', '2004', '17339', '20040706', '20040624', '', 'Pegawai', 'dr H Buddy', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17340, '77000672', '2004', '17340', '20040706', '20040703', '', 'Pegawai', 'dr Azrul Noor', '811199', 84600, 84600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17341, '59920104', '2004', '17341', '20040706', '20040701', '', 'Pegawai', 'JEC', '811199', 762000, 762000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17342, '76021258', '2004', '17342', '20040706', '20040626', '', 'Pegawai', 'RS Hermina', '811199', 234550, 234550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17343, '79010904', '2004', '17343', '20040706', '20040629', '', 'Pegawai', 'dr Retno', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17344, '74031496', '2004', '17344', '20040706', '20040624', '', 'Pegawai', 'RS Cikini', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17345, '74021263', '2004', '17345', '20040706', '20040627', '', 'Anak I', 'dr Bambang', '811199', 176000, 176000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17346, '71000727', '2004', '17346', '20040706', '20040623', '', 'Anak I', 'dr Warsito', '811199', 195500, 195500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17347, '74031438', '2004', '17347', '20040706', '20040703', '', 'Anak I', 'dr Naswanto', '811199', 578600, 578600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17348, '70920034', '2004', '17348', '20040706', '20040504', '', 'Pegawai', 'dr Syarif', '811199', 106000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17349, '76042285', '2004', '17349', '20040706', '20040628', '', 'Pegawai', 'dr Metta', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17350, '64010984', '2004', '17350', '20040706', '20040629', '', 'Anak I', 'dr Fajar', '811199', 442000, 442000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17351, '75010905', '2004', '17351', '20040706', '20040618', '', 'Pegawai', 'dr Valentin', '811199', 123000, 123000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17352, '71950212', '2004', '17352', '20040706', '20040623', '', 'Pegawai', 'drg Koesmanto', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17353, '65920033', '2004', '17353', '20040706', '20040629', 'Eti Karyati', 'Isteri', 'dr Suharni', '811199', 63000, 63000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17354, '81032119', '2004', '17354', '20040706', '20040629', '', 'Pegawai', 'dr Supranoto', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17355, '70960414', '2004', '17355', '20040706', '20040619', '', 'Pegawai', 'dr Ayu', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17356, '72950363', '2004', '17356', '20040706', '20040619', '', 'Pegawai', 'RS Medistra', '811199', 331000, 331000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17357, '70930144', '2004', '17357', '20040706', '20040626', '', 'Anak I', 'dr Gunawan', '811199', 547900, 547900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17358, '71970498', '2004', '17358', '20040706', '20040621', '', 'Pegawai', 'dr Kustiani Onie', '811199', 426500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17359, '70940155', '2004', '17359', '20040706', '20040628', 'Astri FW.', 'Anak I', 'RS Hermina', '811199', 265000, 265000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17360, '71970456', '2004', '17360', '20040706', '20040628', '', 'Pegawai', 'dr Ridhawati', '811199', 100000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17361, '65960416', '2004', '17361', '20040706', '20040628', '', 'Anak I', 'dr E Yazid', '811199', 321400, 321400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17362, '57910014', '2004', '17362', '20040706', '20040628', '', 'Pegawai', 'dr Yacob', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17363, '50950207', '2004', '17363', '20040706', '20040629', 'Sapariyah', 'Isteri', 'Klinik Bunda', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17364, '69960401', '2004', '17364', '20040706', '20040629', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul M', '811199', 234650, 234650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17365, '73021088', '2004', '17365', '20040706', '20040629', '', 'Isteri', 'dr Gunawan', '811199', 402900, 402900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17366, '72000794', '2004', '17366', '20040706', '20040624', '', 'Pegawai', 'drg Agustinus', '811199', 220300, 220300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17367, '79021076', '2004', '17367', '20040706', '20040629', '', 'Pegawai', 'RS Medistra', '811199', 312000, 312000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17368, '69021047', '2004', '17368', '20040706', '20040622', '', 'Anak I', 'dr Hartati', '811199', 127000, 127000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17369, '66920035', '2004', '17369', '20040706', '20040621', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 203400, 203400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17370, '66980545', '2004', '17370', '20040706', '20040602', '', 'Pegawai', 'dr Ichramsjah', '811199', 914950, 791950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17371, '72031488', '2004', '17371', '20040706', '20040629', '', 'Pegawai', 'dr Bambang', '811199', 190850, 190850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17372, '70990586', '2004', '17372', '20040708', '20040701', '', 'Anak I', 'dr Nenie', '811199', 692800, 692800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17373, '66920026', '2004', '17373', '20040708', '20040702', 'Sang Ayu Baktiasih', 'Isteri', 'RS Int,l Bintaro', '811199', 215146, 215146, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17374, '55021244', '2004', '17374', '20040708', '20040628', 'Tisnowati', 'Isteri', 'RS Haji', '811199', 196000, 196000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17375, '63000711', '2004', '17375', '20040708', '20040629', 'M.Farras Hanif', 'Anak II', 'RS MMC', '811199', 356400, 356400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17376, '65920018', '2004', '17376', '20040708', '20040702', '', 'Pegawai', 'dr Himawan', '811199', 77000, 77000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17377, '65010987', '2004', '17377', '20040708', '20040703', '', 'Anak I', 'Aptk Legenda', '811199', 87000, 87000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17378, '66010859', '2004', '17378', '20040708', '20040630', 'Maulida A.', 'Anak II', 'Klinik MMC', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17379, '17101947', '2004', '17379', '20040708', '20040624', '', 'Isteri', 'RSB Duren Tiga', '811199', 410500, 410500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17380, '72000696', '2004', '17380', '20040708', '20040606', 'Teti P.', 'Isteri', 'RS Haji Jakarta', '811199', 145300, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17381, '70990648', '2004', '17381', '20040708', '20040630', 'Faizah Rahmah Izzatudini', 'Anak I', 'Aptk Masnaga', '811199', 93700, 93700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17382, '72000703', '2004', '17382', '20040708', '20040630', '', 'Pegawai', 'dr Ira Indriasari', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17383, '70930144', '2004', '17383', '20040708', '20040703', '', 'Pegawai', 'dr Gunawan', '811199', 159500, 159500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17384, '67950203', '2004', '17384', '20040708', '20040701', '', 'Pegawai', 'Klinik IAIN', '811199', 68500, 68500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17385, '77011016', '2004', '17385', '20040708', '20040612', '', 'Pegawai', 'dr Pahry.S', '811199', 480000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17386, '60032087', '2004', '17386', '20040708', '20040706', '', 'Pegawai', 'dr Afriyanti', '811199', 137700, 137700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17387, '66920106', '2004', '17387', '20040708', '20040707', '', 'Anak I', 'BP Yadi', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17388, '72980510', '2004', '17388', '20040708', '20040703', 'M. Nur Muhriza', 'Anak I', 'RS Thamrin', '811199', 148200, 148200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17389, '70950204', '2004', '17389', '20040708', '20040626', 'Rustini', 'Isteri', 'Bidan Sukamti', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17390, '17601989', '2004', '17390', '20040708', '20040706', '', 'Pegawai', 'RS Alvernia Agusta', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17391, '60930116', '2004', '17391', '20040708', '20040630', '', 'Isteri', 'dr Hadi Koesnan', '811199', 1752150, 1752150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17392, '59950195', '2004', '17392', '20040708', '20040701', '', 'Anak I', 'dr Gunawan', '811199', 428700, 428700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17393, '64930109', '2004', '17393', '20040708', '20040706', 'Muhammad Cesare Wicaksana Nero', 'Anak I', 'dr Huda', '811199', 757312, 757312, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17394, '61920069', '2004', '17394', '20040708', '20040630', 'Mochamad Bayu Seto', 'Anak I', 'Aptk Sarika', '811199', 750400, 750400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17395, '73042189', '2004', '17395', '20040708', '20040705', '', 'Isteri', 'dr Adiyono', '811199', 206000, 206000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17396, '76030008', '2004', '17396', '20040708', '20040703', '', 'Anak I', 'dr Soerachmo', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17397, '62920060', '2004', '17397', '20040708', '20040706', '', 'Pegawai', 'RS Harum', '811199', 355150, 355150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17398, '65960408', '2004', '17398', '20040708', '20040622', 'Dikiy', 'Anak III', 'dr Meri', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17399, '69960401', '2004', '17399', '20040708', '20040707', 'Elly S. Abdurachman', 'Isteri', 'RS Hermina', '811199', 207000, 207000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17400, '65920033', '2004', '17400', '20040708', '20040707', 'Fiqih Ramadhan', 'Anak II', 'dr Sri', '811199', 84500, 84500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17401, '75990657', '2004', '17401', '20040708', '20040707', '', 'Pegawai', 'RS MMC', '811199', 381200, 181716, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17402, '71990599', '2004', '17402', '20040708', '20040706', '', 'Pegawai', 'dr Leo Gustono', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17403, '72950345', '2004', '17403', '20040708', '20040706', '', 'Pegawai', 'RS Medistra', '811199', 308300, 308300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17404, '66950355', '2004', '17404', '20040708', '20040706', '', 'Isteri', 'Lab Westerindo', '811199', 536000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17405, '73010858', '2004', '17405', '20040708', '20040629', '', 'Anak I', 'RS Mitra', '811199', 320021, 320021, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17406, '68000752', '2004', '17406', '20040708', '20040706', 'Harits Sudarsono M', 'Anak I', 'Aptk Aji Waras', '811199', 204200, 204200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17407, '66000735', '2004', '17407', '20040708', '20040629', '', 'Pegawai', 'Aptk Bunda', '811199', 104200, 104200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17408, '69960396', '2004', '17408', '20040708', '20040701', '', 'Anak I', 'RS Puri Medika', '811199', 133000, 133000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17409, '81042279', '2004', '17409', '20040708', '20040625', '', 'Pegawai', 'Bandung Optik', '811199', 81500, 81500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17410, '57930124', '2004', '17410', '20040713', '20040708', '', 'Anak I', 'dr Pudji Wiyanti', '811199', 537650, 537650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17411, '76021048', '2004', '17411', '20040713', '20040627', '', 'Pegawai', 'Klinik Tomang', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17412, '66970473', '2004', '17412', '20040713', '20040705', '', 'Anak I', 'Yay Bina Sehat', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17413, '71960437', '2004', '17413', '20040713', '20040710', 'Nadya Agustina', 'Anak I', 'Aptk Dyan Nely II', '811199', 127400, 127400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17414, '72000707', '2004', '17414', '20040713', '20040611', '', 'Anak I', 'dr Azwir', '811199', 281500, 118700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17415, '66950355', '2004', '17415', '20040713', '20040711', '', 'Isteri', 'Sam Marie', '811199', 836500, 836500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17416, '66950355', '2004', '17416', '20040713', '20040706', '', 'Isteri', 'Lab Westerind', '811199', 536000, 536000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17417, '17201001', '2004', '17417', '20040713', '20040710', '', 'Anak I', 'RS Puri Cinere', '811199', 377500, 377500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17418, '63920052', '2004', '17418', '20040713', '20040711', '', 'Anak I', 'Klinik Artha Sari', '811199', 134000, 134000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17419, '75980563', '2004', '17419', '20040713', '20040629', '', 'Anak I', 'RS Hermina', '811199', 505230, 505230, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17420, '68960412', '2004', '17420', '20040713', '20040706', 'Michelle Shan C.', 'Anak I', 'Klinik Satiti', '811199', 97000, 97000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17421, '68960412', '2004', '17421', '20040713', '20040620', 'Michelle Shan C.', 'Anak I', 'Klinik Tiara', '811199', 78000, 78000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17422, '77021433', '2004', '17422', '20040713', '20040708', '', 'Anak I', 'Aptk Ciriung', '811199', 22500, 22500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17423, '74990649', '2004', '17423', '20040713', '20040708', '', 'Pegawai', 'dr Yanuar', '811199', 93000, 93000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17424, '68000709', '2004', '17424', '20040713', '20040529', '', 'Isteri', 'RS Hermina', '811199', 276960, 146510, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17425, '57920024', '2004', '17425', '20040713', '20040707', '', 'Isteri', 'RS Mitra', '811199', 521000, 521000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17426, '64010984', '2004', '17426', '20040713', '20040701', '', 'Anak I', 'dr Fajar', '811199', 146000, 146000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17427, '72000701', '2004', '17427', '20040713', '20040707', 'Desi Mirdasari', 'Isteri', 'RS Mitra Internasional', '811199', 1217858, 1217858, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17428, '57910014', '2004', '17428', '20040713', '20040709', '', 'Pegawai', 'dr Gunawan', '811199', 270200, 270200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17429, '65980552', '2004', '17429', '20040713', '20040628', '', 'Pegawai', 'dr Yenni', '811199', 1477400, 1477400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17430, '72980510', '2004', '17430', '20040713', '20040707', 'M. Nur Muhriza', 'Anak I', 'RS Thamrin', '811199', 167200, 167200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17431, '50950207', '2004', '17431', '20040713', '20040705', 'Ira Maya S', 'Anak III', 'RS Bhakti Yuda', '811199', 96000, 96000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17432, '65010987', '2004', '17432', '20040713', '20040711', '', 'Anak I', 'RSIA Hermina', '811199', 205270, 205270, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17433, '77042190', '2004', '17433', '20040713', '20040617', '', 'Pegawai', 'RS MMC', '811199', 99200, 99200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17434, '79010904', '2004', '17434', '20040713', '20040707', '', 'Pegawai', 'dr Retno', '811199', 230000, 230000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17435, '69950209', '2004', '17435', '20040713', '20040702', 'Neneng Lutvia', 'Isteri', 'RS Mitra', '811199', 174772, 174772, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17436, '67980526', '2004', '17436', '20040713', '20040701', 'Ahmad Faishal Annas', 'Anak I', 'RS Hermina', '811199', 246396, 246396, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17437, '71960398', '2004', '17437', '20040713', '20040711', '', 'Isteri', 'dr Adi', '811199', 433400, 433400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17438, '79030001', '2004', '17438', '20040713', '20040708', '', 'Pegawai', 'Klinik Kamila', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17439, '76960435', '2004', '17439', '20040713', '20040710', '', 'Isteri', 'RS Siloam', '811199', 441800, 441800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17440, '69000669', '2004', '17440', '20040713', '20040710', '', 'Anak I', 'dr Ismu', '811199', 204400, 204400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17441, '66980545', '2004', '17441', '20040716', '20040714', '', 'Pegawai', 'dr Syahrial', '811199', 248000, 248000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17442, '75020004', '2004', '17442', '20040716', '20040625', '', 'Isteri', 'dr Maulana', '811199', 194750, 194750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17443, '16801865', '2004', '17443', '20040716', '20040710', 'Sulami A.', 'Isteri', 'dr Adrul Muslim', '811199', 135300, 135300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17444, '69940161', '2004', '17444', '20040716', '20040712', '', 'Pegawai', 'drg Rita', '811199', 280000, 280000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17445, '00030010', '2004', '17445', '20040716', '20040708', '', 'Pegawai', 'RS Hermina', '811199', 1110370, 1110370, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17446, '59920104', '2004', '17446', '20040716', '20040712', '', 'Pegawai', 'JEC', '811199', 443000, 443000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17447, '66970463', '2004', '17447', '20040716', '20040712', '', 'Pegawai', 'drg esmanto', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17448, '73021143', '2004', '17448', '20040716', '20040712', '', 'Isteri', 'Balai Bhakti Pertiwi', '811199', 346500, 346500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17449, '17601989', '2004', '17449', '20040716', '20040713', '', 'Pegawai', 'drg D.Niken', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17450, '71960437', '2004', '17450', '20040716', '20040712', 'Nadya Agustina', 'Anak I', 'RSIA Permata', '811199', 100000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17451, '71940159', '2004', '17451', '20040716', '20040712', '', 'Pegawai', 'RSPI', '811199', 229400, 229400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17452, '79031849', '2004', '17452', '20040716', '20040714', '', 'Pegawai', 'RS Medistra', '811199', 732300, 732300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17453, '16801896', '2004', '17453', '20040716', '20040626', '', 'Pegawai', 'dr Adnan', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17454, '71950367', '2004', '17454', '20040716', '20040710', '', 'Anak II', 'Klinik Anakku', '811199', 211500, 211500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17455, '59021080', '2004', '17455', '20040716', '20040708', '', 'Isteri', 'Aptk Trinitas', '811199', 183000, 183000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17456, '75000720', '2004', '17456', '20040716', '20040712', '', 'Pegawai', 'dr Karno Suprapto', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17457, '66920035', '2004', '17457', '20040716', '20040702', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 284294, 66670, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17458, '70980570', '2004', '17458', '20040716', '20040702', 'Eer', 'Isteri', 'RS Haji Jakarta', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17459, '62920044', '2004', '17459', '20040716', '20040708', '', 'Isteri', 'RS Mitra Keluarga', '811199', 450700, 450700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17460, '71930148', '2004', '17460', '20040716', '20040712', '', 'Pegawai', 'RS Jakarta', '811199', 328788, 328788, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17461, '17700818', '2004', '17461', '20040716', '20040712', '', 'Pegawai', 'dr David', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17462, '16900803', '2004', '17462', '20040716', '20040707', '', 'Isteri', 'RS Bunda', '811199', 305000, 305000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17463, '72000794', '2004', '17463', '20040716', '20040713', '', 'Isteri', 'Balai Perdatam', '811199', 129000, 129000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17464, '74990578', '2004', '17464', '20040716', '20040711', '', 'Pegawai', 'JMC', '811199', 67100, 67100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17465, '63970464', '2004', '17465', '20040716', '20040707', '', 'Pegawai', 'drg esnyoto', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17466, '72950205', '2004', '17466', '20040716', '20040713', 'Rizqullah Ishaq', 'Anak I', 'RSIA Tumbuh  Kembang', '811199', 46700, 46700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17467, '71031758', '2004', '17467', '20040716', '20040714', '', 'Pegawai', 'dr Teddy Yohanes', '811199', 146000, 146000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17468, '65960348', '2004', '17468', '20040716', '20040715', '', 'Pegawai', 'RS MMC', '811199', 265598, 265598, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17469, '67000742', '2004', '17469', '20040716', '20040710', '', 'Pegawai', 'dr Rudy Andreas', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17470, '71970456', '2004', '17470', '20040716', '20040628', '', 'Pegawai', 'dr Ridhawati', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17471, '72980510', '2004', '17471', '20040716', '20040713', 'M. Nur Muhriza', 'Anak I', 'RS Thamrin', '811199', 206100, 206100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17472, '74950226', '2004', '17472', '20040716', '20040716', 'Syifa Ghallyah', 'Anak I', 'dr Tan Gek Soan', '811199', 72000, 72000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17473, '72000696', '2004', '17473', '20040720', '20040706', 'Teti P.', 'Isteri', 'RS Haji Jakarta', '811199', 145300, 145300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17474, '71960437', '2004', '17474', '20040720', '20040717', 'M. Farhan', 'Anak II', 'RS Bunda Auni II', '811199', 208000, 208000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17475, '66950191', '2004', '17475', '20040720', '20040713', '', 'Pegawai', 'Century', '811199', 348505, 348505, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17476, '79042172', '2004', '17476', '20040720', '20040715', '', 'Isteri', 'RSB Duren Tiga', '811199', 123500, 123500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17477, '17201001', '2004', '17477', '20040720', '20040717', '', 'Pegawai', 'RS Ridwan Meuraksa', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17478, '69960401', '2004', '17478', '20040720', '20040717', 'Rafiqi Luthfan', 'Anak I', 'RS Hermina', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17479, '63970464', '2004', '17479', '20040720', '20040719', '', 'Pegawai', 'drg Bambang', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17480, '67960411', '2004', '17480', '20040720', '20040708', '', 'Pegawai', 'Klinik Harapan Bunda', '811199', 269300, 269300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17481, '69021141', '2004', '17481', '20040720', '20180704', '', 'Anak I', 'Aptk Rini', '811199', 113200, 113200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17482, '68000752', '2004', '17482', '20040720', '20040716', '', 'Pegawai', 'Aptk Aji Waras', '811199', 233800, 233800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17483, '66010859', '2004', '17483', '20040720', '20040714', 'Pratiti', 'Isteri', 'Klinik Sasanty', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17484, '79042172', '2004', '17484', '20040720', '20040719', '', 'Isteri', 'RS Hermina', '811199', 289850, 289850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17485, '68920053', '2004', '17485', '20040720', '20040702', 'Syahida Nurrahmah', 'Anak II', 'RS Hermina', '811199', 364000, 364000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17486, '63920047', '2004', '17486', '20040720', '20040628', '', 'Isteri', 'dr Handaya', '811199', 208200, 208200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17487, '66990584', '2004', '17487', '20040720', '20040707', 'Andi Ernawati SE', 'Isteri', 'dr Sofie', '811199', 162900, 162900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17488, '17501895', '2004', '17488', '20040720', '20040716', '', 'Anak I', 'RS Medika Sampurna', '811199', 551600, 551600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17489, '66920067', '2004', '17489', '20040720', '20040615', 'Deny Waty Djaafar', 'Isteri', 'RS Mitra Int,l', '811199', 760500, 668000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17490, '72099654', '2004', '17490', '20040720', '20040703', '', 'Pegawai', 'Aptk AjiWaras', '811199', 222700, 222700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17491, '63000711', '2004', '17491', '20040720', '20040716', 'M.Farras Hanif', 'Anak II', 'RS MMC', '811199', 225300, 225300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17492, '57930113', '2004', '17492', '20040720', '20040708', 'Dewi Marlini', 'Isteri', 'RSPI', '811199', 283651, 283651, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17493, '81031469', '2004', '17493', '20040720', '20040619', '', 'Pegawai', 'drg Bastian', '811199', 600000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17494, '66970463', '2004', '17494', '20040720', '20040718', '', 'Pegawai', 'dr Adi Asmoro', '811199', 53150, 53150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17495, '8002002', '2004', '17495', '20040720', '20040704', '', 'Pegawai', 'dr Andri', '811199', 106000, 106000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17496, '71011018', '2004', '17496', '20040720', '20040707', '', 'Isteri', 'RS Hermina', '811199', 195600, 195600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17497, '63920052', '2004', '17497', '20040720', '20040714', '', 'Anak I', 'Klinik Restu Bunda', '811199', 174000, 174000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17498, '71960389', '2004', '17498', '20040720', '20040710', '', 'Pegawai', 'RS Mitra Int,l', '811199', 309551, 309551, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17499, '72000701', '2004', '17499', '20040720', '20040715', 'Ziva', 'Anak I', 'RS Medistra', '811199', 320800, 320800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17500, '74031496', '2004', '17500', '20040720', '20040713', '', 'Pegawai', 'RS Cikini', '811199', 89900, 66400, NULL, NULL, 'A', 'medical')





/* Data for the `MedicalRestitusiDetail` table  (Records 17501 - 18000) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17501, '5540008', '2004', '17501', '20040720', '20040719', '', 'Pegawai', 'dr Hindra', '811199', 160700, 160700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17502, '78010962', '2004', '17502', '20040720', '20040628', '', 'Pegawai', 'dr Erlang', '811199', 66500, 66500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17503, '74950226', '2004', '17503', '20040722', '20040720', 'Sheza M. A.', 'Anak II', 'dr Tan Gek Soan', '811199', 82000, 82000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17504, '76960435', '2004', '17504', '20040722', '20040720', '', 'Isteri', 'RS Siloam', '811199', 341502, 184883, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17505, '65960408', '2004', '17505', '20040722', '20040704', 'Rosmaini', 'Isteri', 'dr Adi Gunadi', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17506, '68960412', '2004', '17506', '20040722', '20040719', '', 'Pegawai', 'drg Ratna S', '811199', 62500, 62500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17507, '77011035', '2004', '17507', '20040722', '20040719', '', 'Pegawai', 'Klinik Trigrata', '811199', 204500, 204500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17508, '17700818', '2004', '17508', '20040722', '20040720', '', 'Pegawai', 'dr Arief A Judana', '811199', 152600, 152600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17509, '72000763', '2004', '17509', '20040722', '20040717', '', 'Pegawai', 'RS Telorejo', '811199', 144450, 144450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17510, '64920046', '2004', '17510', '20040722', '20040717', '', 'Pegawai', 'drg Sri', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17511, '59021080', '2004', '17511', '20040722', '20040721', '', 'Pegawai', 'Depok Medical Centre', '811199', 59000, 59000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17512, '62910008', '2004', '17512', '20040722', '20040701', 'Baldomero S. G.', 'Anak I', 'RSPI', '811199', 207000, 207000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17513, '66920043', '2004', '17513', '20040722', '20040719', '', 'Pegawai', 'RS Denta Medika', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17514, '76021236', '2004', '17514', '20040722', '20040721', '', 'Pegawai', 'Bidan Sri Rochmani', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17515, '66920064', '2004', '17515', '20040722', '20040719', 'M. Eryan', 'Anak I', 'Raditya Medical', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17516, '60930108', '2004', '17516', '20040722', '20040719', '', 'Pegawai', 'Klinik Halim', '811199', 153000, 153000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17517, '68950221', '2004', '17517', '20040722', '20040719', '', 'Anak II', 'RS Hermina', '811199', 131860, 131860, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17518, '66970463', '2004', '17518', '20040722', '20040721', '', 'Pegawai', 'drg Koesmanto', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17519, '70000791', '2004', '17519', '20040722', '20040720', '', 'Pegawai', 'RS Haji', '811199', 107800, 107800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17520, '72000701', '2004', '17520', '20040722', '20040720', 'Ziva', 'Anak I', 'RS Perhati', '811199', 208600, 208600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17521, '49920032', '2004', '17521', '20040722', '20040512', 'Suryati', 'Isteri', 'dr Tjandra', '811199', 383500, 338500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17522, '74950356', '2004', '17522', '20040722', '20040721', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 239000, 239000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17523, '79031739', '2004', '17523', '20040722', '20040712', '', 'Pegawai', 'dr I Made', '811199', 227500, 227500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17524, '74990649', '2004', '17524', '20040722', '20040712', '', 'Pegawai', 'dr Yanuar', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17525, '17300901', '2004', '17525', '20040722', '20040611', '', 'Anak I', 'RS Hermina', '811199', 565827, 148900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17526, '61930128', '2004', '17526', '20040722', '20040704', 'A. Retno M', 'Isteri', 'Klinik Mitra', '811199', 541300, 541300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17527, '5203005', '2004', '17527', '20040727', '20040723', '', 'Pegawai', 'Medizone Clinic', '811199', 3600000, 3600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17528, '60950189', '2004', '17528', '20040727', '20040725', '', 'Pegawai', 'dr Alfiyah', '811199', 494000, 494000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17529, '61920045', '2004', '17529', '20040727', '20040717', 'Sutirma J.Rosalina', 'Isteri', 'RS Tumbuh Kembang', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17530, '57930146', '2004', '17530', '20040727', '20040722', '', 'Anak I', 'RS Dharma Nugraha', '811199', 114000, 114000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17531, '72000701', '2004', '17531', '20040727', '20040718', 'Desi Mirdasari', 'Isteri', 'Aptk Century', '811199', 302300, 302300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17532, '77011033', '2004', '17532', '20040727', '20040723', '', 'Pegawai', 'RS Medistra', '811199', 497500, 497500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17533, '73950170', '2004', '17533', '20040727', '20040726', '', 'Pegawai', 'drg Rita Suryati', '811199', 595000, 595000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17534, '65920033', '2004', '17534', '20040727', '20040723', 'Eti Karyati', 'Isteri', 'dr Suharni', '811199', 259400, 259400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17535, '69950162', '2004', '17535', '20040727', '20040726', 'Muhammad Nadhif Judhananto', 'Anak I', 'dr Jusuf', '811199', 159900, 159900, NULL, NULL, 'A', 'medical')



INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17536, '5540008', '2004', '17536', '20040727', '20040724', '', 'Pegawai', 'dr E.C Natahusada', '811199', 223000, 223000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17537, '17601989', '2004', '17537', '20040727', '20040723', '', 'Pegawai', 'drg D. Niken', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17538, '74031496', '2004', '17538', '20040727', '20040721', '', 'Pegawai', 'RS Cikini', '811199', 89900, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17539, '67960411', '2004', '17539', '20040727', '20040720', 'Fakhri Achmad', 'Anak II', 'RB Citra Ananda', '811199', 83000, 83000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17540, '75020004', '2004', '17540', '20040727', '20040705', '', 'Isteri', 'dr Maulana', '811199', 127200, 127200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17541, '64920046', '2004', '17541', '20040727', '20040723', '', 'Pegawai', 'Aptk Mitra Farma', '811199', 76500, 76500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17542, '17201001', '2004', '17542', '20040727', '20040726', '', 'Anak II', 'RS Puri Cinere', '811199', 624300, 294270, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17543, '69960401', '2004', '17543', '20040727', '20040722', 'Rafiqi Luthfan', 'Anak I', 'RS Hermina', '811199', 189500, 189500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17544, '75990580', '2004', '17544', '20040727', '20040719', '', 'Pegawai', 'Pamulang Medical', '811199', 113000, 113000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17545, '77021068', '2004', '17545', '20040727', '20040719', '', 'Pegawai', 'Aptk Karisma', '811199', 337500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17546, '69950162', '2004', '17546', '20040727', '20040721', 'Muhammad Nadhif Judhananto', 'Anak I', 'dr Karel Staa', '811199', 416000, 416000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17547, '67970470', '2004', '17547', '20040727', '20040721', '', 'Pegawai', 'drg Koesmanto', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17548, '70000684', '2004', '17548', '20040727', '20040708', '', 'Anak I', 'dr Rusmini A', '811199', 114900, 114900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17549, '59950195', '2004', '17549', '20040727', '20040721', 'Lisbet Morliner', 'Isteri', 'dr Gunawan', '811199', 548775, 548775, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17550, '65960408', '2004', '17550', '20040727', '20040718', 'Rosmaini', 'Isteri', 'dr Adi Gunadi', '811199', 115000, 64900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17551, '16801865', '2004', '17551', '20040727', '20040723', 'Sulami A.', 'Isteri', 'dr Adrul Muslim', '811199', 180450, 180450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17552, '66970473', '2004', '17552', '20040727', '20040722', '', 'Anak I', 'RS Gandaria', '811199', 152500, 152500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17553, '69021047', '2004', '17553', '20040727', '20040720', '', 'Anak I', 'dr Hartati', '811199', 212500, 212500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17554, '75021078', '2004', '17554', '20040727', '20040710', 'Yulia N.', 'Isteri', 'BKR MKGR', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17555, '17601989', '2004', '17555', '20040727', '20040721', '', 'Pegawai', 'RS Alvernia Agusta', '811199', 191800, 191800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17556, '65950196', '2004', '17556', '20040727', '20040721', '', 'Pegawai', 'dr Martha Gultom', '811199', 65900, 65900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17557, '68920057', '2004', '17557', '20040727', '20040721', '', 'Anak I', 'RS Puri Cinere', '811199', 275800, 275800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17558, '68920057', '2004', '17558', '20040727', '20040710', '', 'Anak I', 'Klinik Kezia', '811199', 93100, 93100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17559, '65010987', '2004', '17559', '20040727', '20040712', '', 'Anak I', 'RSIA Hermina', '811199', 141100, 141100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17560, '74950226', '2004', '17560', '20040727', '20040722', 'Syifa Ghallyah', 'Anak I', 'dr Tan Gek Soan', '811199', 61500, 61500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17561, '65950196', '2004', '17561', '20040727', '20040724', '', 'Pegawai', 'RS MMC', '811199', 372400, 372400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17562, '81032119', '2004', '17562', '20040727', '20040701', '', 'Pegawai', 'Aptk Kimia Farma', '811199', 95200, 95200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17563, '70950214', '2004', '17563', '20040727', '20040715', 'Pratiwi Hadi', 'Isteri', 'dr Dawam', '811199', 242500, 242500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17564, '66990584', '2004', '17564', '20040727', '20040723', 'Andi Firyal', 'Anak II', 'RSCM', '811199', 125500, 125500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17565, '78042295', '2004', '17565', '20040727', '20040724', '', 'Pegawai', 'KlinikBella', '811199', 119500, 119500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17566, '76970457', '2004', '17566', '20040727', '20040714', 'Dimas P.', 'Anak I', 'dr Kurniawan', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17567, '77021067', '2004', '17567', '20040727', '20040722', '', 'Pegawai', 'RS JMC', '811199', 183800, 183800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17568, '75980563', '2004', '17568', '20040727', '20040722', '', 'Anak I', 'RS Hermina', '811199', 167000, 167000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17569, '72950223', '2004', '17569', '20040727', '20040720', 'Titin Yuniria', 'Isteri', 'dr M Tatang', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17570, '63920052', '2004', '17570', '20040727', '20040723', 'Asti Rizkiana V', 'Isteri', 'RS Mitra Int,l', '811199', 319050, 319050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17571, '79030001', '2004', '17571', '20040727', '20040720', '', 'Pegawai', 'dr Kartini', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17572, '72000772', '2004', '17572', '20040727', '20040724', '', 'Isteri', 'dr Rina', '811199', 84700, 84700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17573, '74021263', '2004', '17573', '20040727', '20040714', '', 'Anak I', 'dr Bambang', '811199', 292100, 292100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17574, '74990578', '2004', '17574', '20040727', '20040726', '', 'Pegawai', 'JMC', '811199', 139000, 139000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17575, '79042234', '2004', '17575', '20040727', '20040629', '', 'Pegawai', 'RS Pasar Rebo', '811199', 130436, 130436, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17576, '81031917', '2004', '17576', '20040727', '20040720', '', 'Pegawai', 'dr Zulkifli', '811199', 102600, 102600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17577, '72980510', '2004', '17577', '20040727', '20040725', 'M. Nur Muhriza', 'Anak I', 'RS Thamrin', '811199', 242100, 242100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17578, '66920063', '2004', '17578', '20040729', '20040727', '', 'Isteri', 'RS Graha Medika', '811199', 193500, 193500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17579, '77021138', '2004', '17579', '20040729', '20040728', '', 'Pegawai', 'drg Sam', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17580, '17201001', '2004', '17580', '20040804', '20040802', '', 'Pegawai', 'RS Puri Cinere', '811199', 230030, 230030, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17581, '71960403', '2004', '17581', '20040729', '20040724', '', 'Pegawai', 'drg Endang', '811199', 330000, 330000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17582, '65021085', '2004', '17582', '20040729', '20040722', '', 'Anak I', 'dr J Silitonga', '811199', 234100, 234100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17583, '60920041', '2004', '17583', '20040729', '20040721', '', 'Pegawai', 'RS Islam Jakarta', '811199', 710300, 710300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17584, '71011018', '2004', '17584', '20040729', '20040724', '', 'Isteri', 'RS Hermina', '811199', 308200, 308200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17585, '17301957', '2004', '17585', '20040729', '20040724', '', 'Anak I', 'dr Aries', '811199', 368300, 368300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17586, '57910014', '2004', '17586', '20040729', '20040728', 'Al Amin Syamshe Fajar', 'Anak III', 'dr Yacob', '811199', 235000, 235000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17587, '67920089', '2004', '17587', '20040729', '20040728', '', 'Pegawai', 'dr Sutoyo', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17588, '63970483', '2004', '17588', '20040729', '20040710', '', 'Anak I', 'dr Budi Susetyo', '811199', 607900, 607900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17589, '64010984', '2004', '17589', '20040729', '20040727', '', 'Anak I', 'dr Fajar', '811199', 103000, 103000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17590, '72000696', '2004', '17590', '20040729', '20040722', '', 'Pegawai', 'RS Haji Jakarta', '811199', 219800, 219800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17591, '69940161', '2004', '17591', '20040729', '20040727', 'Ratnadya Thurfa', 'Anak I', 'dr Tin', '811199', 131300, 131300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17592, '64950184', '2004', '17592', '20040729', '20040723', '', 'Pegawai', 'Klinik Armabar', '811199', 1164500, 376200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17593, '70990586', '2004', '17593', '20040729', '20040713', '', 'Anak I', 'dr Nenie', '811199', 211200, 211200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17594, '51980512', '2004', '17594', '20040729', '20040714', '', 'Pegawai', 'dr Maria', '811199', 791000, 791000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17595, '70010882', '2004', '17595', '20040729', '20040725', '', 'Anak I', 'dr Zakiudin', '811199', 266075, 266075, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17596, '68950371', '2004', '17596', '20040729', '20040727', 'Amarthya', 'Anak I', 'RSB Asih', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17597, '70000961', '2004', '17597', '20040729', '20040720', '', 'Isteri', 'RS MMC', '811199', 446700, 446700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17598, '66950191', '2004', '17598', '20040729', '20040726', '', 'Anak I', 'RSPI', '811199', 1102000, 1102000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17599, '66920074', '2004', '17599', '20040729', '20040709', 'Shinta Wahyuni', 'Isteri', 'RSPI', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17600, '68920053', '2004', '17600', '20040729', '20040722', 'Syahida Nurrahmah', 'Anak II', 'dr Nancy', '811199', 168000, 168000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17601, '73010870', '2004', '17601', '20040729', '20040726', '', 'Pegawai', 'drg Tita', '811199', 163600, 163600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17602, '73010858', '2004', '17602', '20040729', '20040724', '', 'Anak I', 'RS Mitra', '811199', 190537, 190537, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17603, '72000707', '2004', '17603', '20040729', '20040723', '', 'Anak I', 'dr Endang', '811199', 312100, 312100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17604, '72950223', '2004', '17604', '20040729', '20040727', 'Titin Yuniria', 'Isteri', 'dr M Tatang', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17605, '58000840', '2004', '17605', '20040729', '20040720', '', 'Pegawai', 'dr M Santoso', '811199', 183500, 183500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17606, '77042155', '2004', '17606', '20040729', '20040722', '', 'Pegawai', 'drg Marlina', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17607, '71000750', '2004', '17607', '20040729', '20040722', '', 'Pegawai', 'Aptk Kemanggisan', '811199', 87000, 87000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17608, '59920104', '2004', '17608', '20040729', '20040727', '', 'Pegawai', 'JEC', '811199', 367000, 367000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17609, '68950221', '2004', '17609', '20040729', '20040727', 'Kevin Tria Nugroho', 'Anak I', 'dr H Tjetjep', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17610, '63970478', '2004', '17610', '20040729', '20040728', '', 'Pegawai', 'dr Bernhard', '811199', 78300, 78300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17611, '66920043', '2004', '17611', '20040729', '20040726', '', 'Pegawai', 'RS Denta Medika', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17612, '60970474', '2004', '17612', '20040729', '20040728', '', 'Pegawai', 'Klinik Medista', '811199', 159000, 159000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17613, '64960402', '2004', '17613', '20040729', '20040723', '', 'Pegawai', 'dr Natahusada', '811199', 201200, 201200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17614, '16801896', '2004', '17614', '20040729', '20040727', '', 'Pegawai', 'dr Adnan', '811199', 235000, 235000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17615, '5540008', '2004', '17615', '20040804', '20040802', '', 'Pegawai', 'RS Pertamina', '811199', 389803, 389803, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17616, '63970464', '2004', '17616', '20040804', '20040726', '', 'Pegawai', 'drg Bambang', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17617, '64930109', '2004', '17617', '20040804', '20040802', 'Muhammad Cesare Wicaksana Nero', 'Anak I', 'dr Huda', '811199', 310470, 306098, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17618, '71930148', '2004', '17618', '20040804', '20040802', '', 'Pegawai', 'RS Jakarta', '811199', 412849, 412849, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17619, '73021143', '2004', '17619', '20040804', '20040729', '', 'Isteri', 'Citra Indah', '811199', 295000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17620, '59021080', '2004', '17620', '20040804', '20040731', '', 'Anak I', 'Aptk Trinitas', '811199', 147000, 147000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17621, '65010987', '2004', '17621', '20040804', '20040728', '', 'Anak I', 'Aptk Legenda', '811199', 257500, 257500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17622, '65950196', '2004', '17622', '20040804', '20040802', '', 'Pegawai', 'dr Martha Gultom', '811199', 60500, 60500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17623, '65010987', '2004', '17623', '20040804', '20040802', '', 'Anak I', 'Aptk Legenda', '811199', 36000, 36000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17624, '69980544', '2004', '17624', '20040804', '20040724', 'Ramadhani Malik Abdillah', 'Anak I', 'RS Hermina', '811199', 240900, 240900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17625, '74031438', '2004', '17625', '20040804', '20040728', '', 'Isteri', 'RSAB Harapan Kita', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17626, '17501895', '2004', '17626', '20040804', '20040731', '', 'Isteri', 'RS Medika Sampurna', '811199', 444900, 444900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17627, '64920046', '2004', '17627', '20040804', '20040803', 'Moch.Prahastomi', 'Anak I', 'Klinik Medista', '811199', 231800, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17628, '74000792', '2004', '17628', '20040804', '20040717', '', 'Pegawai', 'RS Telorejo', '811199', 78450, 78450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17629, '72099654', '2004', '17629', '20040804', '20040727', '', 'Anak I', 'Aptk Aji Waras', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17630, '69960396', '2004', '17630', '20040804', '20040731', '', 'Anak I', 'RS Puri Medika', '811199', 109000, 109000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17631, '69021141', '2004', '17631', '20040804', '20040801', '', 'Pegawai', 'Klinik Mekarsari', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17632, '70950214', '2004', '17632', '20040804', '20040801', '', 'Pegawai', 'dr Widodo', '811199', 369000, 369000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17633, '69021141', '2004', '17633', '20040804', '20040731', '', 'Anak I', 'RS Dharma Nugraha', '811199', 544500, 544500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17634, '16801896', '2004', '17634', '20040804', '20040729', '', 'Anak I', 'RS Pluit', '811199', 287100, 287100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17635, '64950171', '2004', '17635', '20040804', '20040731', '', 'Pegawai', 'RS Patria', '811199', 52000, 52000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17636, '76021258', '2004', '17636', '20040804', '20040731', '', 'Pegawai', 'RS Puri Cinere', '811199', 194300, 194300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17637, '66990584', '2004', '17637', '20040804', '20040727', 'Andi Ernawati SE', 'Isteri', 'dr Sofie', '811199', 146000, 146000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17638, '77000672', '2004', '17638', '20040804', '20040730', '', 'Pegawai', 'RSIA Annisa', '811199', 186500, 186500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17639, '70950199', '2004', '17639', '20040804', '20040701', '', 'Pegawai', 'dr Teddy', '811199', 815000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17640, '62920060', '2004', '17640', '20040804', '20040730', '', 'Pegawai', 'Aptk Pondok Kelapa', '811199', 125300, 125300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17641, '66970473', '2004', '17641', '20040804', '20040730', '', 'Anak I', 'Yay Bina Sehat', '811199', 111000, 111000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17642, '67950203', '2004', '17642', '20040804', '20040728', '', 'Pegawai', 'Klinik Syarief', '811199', 269900, 269900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17643, '68950221', '2004', '17643', '20040804', '20040801', '', 'Anak II', 'RS Hermina', '811199', 288700, 255820, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17644, '49960404', '2004', '17644', '20040804', '20040731', 'Sadat', 'Anak I', 'Kimia Farma', '811199', 306300, 306300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17645, '60950189', '2004', '17645', '20040804', '20040801', 'Anita Karolina', 'Anak I', 'RS Bumi Lestari', '811199', 252000, 252000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17646, '72000701', '2004', '17646', '20040804', '20040727', 'Ziva', 'Anak I', 'RS Proklamasi', '811199', 484700, 364447, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17647, '17702001', '2004', '17647', '20040804', '20040729', '', 'Pegawai', 'JMC', '811199', 244900, 244900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17648, '81031505', '2004', '17648', '20040804', '20040726', '', 'Pegawai', 'dr Agus', '811199', 109400, 109400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17649, '68000709', '2004', '17649', '20040804', '20040724', '', 'Isteri', 'RS Hermina', '811199', 200750, 200750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17650, '69960401', '2004', '17650', '20040804', '20040802', '', 'Pegawai', 'drg M Jenny', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17651, '17201001', '2004', '17651', '20040804', '20040802', '', 'Pegawai', 'drg Maharani Jenny', '811199', 269970, 269970, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17652, '69960401', '2004', '17652', '20040804', '20040804', '', 'Anak III', 'RS Medika Galaxi', '811199', 205600, 205600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17653, '57990576', '2004', '17653', '20040809', '20040705', '', 'Pegawai', 'RS Mitra', '811199', 986989, 895989, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17654, '64930110', '2004', '17654', '20040809', '20040720', '', 'Isteri', 'RSPI', '811199', 1027470, 1027470, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17655, '62920017', '2004', '17655', '20040809', '20040803', 'Hadidjah Sansono', 'Isteri', 'dr Agung', '811199', 271000, 271000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17656, '64930120', '2004', '17656', '20040809', '20040630', '', 'Pegawai', 'Aptk Bayu Kranggan', '811199', 93500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17657, '66010859', '2004', '17657', '20040809', '20040803', 'Maulida A.', 'Anak II', 'Klinik Sasanty', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17658, '66970463', '2004', '17658', '20040809', '20040804', '', 'Pegawai', 'drg Koesmanto', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17659, '57920024', '2004', '17659', '20040809', '20040724', '', 'Pegawai', 'RS Mitra', '811199', 582000, 582000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17660, '66010859', '2004', '17660', '20040809', '20040805', '', 'Pegawai', 'RS Bhakti Asih', '811199', 497000, 497000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17661, '72950363', '2004', '17661', '20040809', '20040717', '', 'Anak I', 'RS Medistra', '811199', 132000, 132000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17662, '62920060', '2004', '17662', '20040809', '20040804', 'Osama Ladn Rayhan', 'Anak I', 'RS Medistra', '811199', 316500, 316500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17663, '70000961', '2004', '17663', '20040809', '20040801', '', 'Isteri', 'Klinik Medina', '811199', 76000, 76000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17664, '72000696', '2004', '17664', '20040809', '20040804', 'Teti P.', 'Isteri', 'RS Haji Jakarta', '811199', 315900, 315900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17665, '68000709', '2004', '17665', '20040809', '20040803', '', 'Anak I', 'RS Hermina', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17666, '60930116', '2004', '17666', '20040809', '20040714', '', 'Isteri', 'RS Medistra', '811199', 2263150, 2263150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17667, '76990604', '2004', '17667', '20040809', '20040828', '', 'Pegawai', 'Bio Farma', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17668, '77000672', '2004', '17668', '20040809', '20040803', '', 'Pegawai', 'RSIA Annisa', '811199', 128000, 128000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17669, '57930113', '2004', '17669', '20040809', '20040727', 'Dewi Marlini', 'Isteri', 'RSPI', '811199', 338590, 319955, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17670, '70000806', '2004', '17670', '20040809', '20040728', '', 'Pegawai', 'RS Puri Cinere', '811199', 231700, 231700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17671, '27400906', '2004', '17671', '20040809', '20040727', 'Eka', 'Isteri', 'dr Nugroho', '811199', 73000, 73000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17672, '16900803', '2004', '17672', '20040809', '20040804', '', 'Isteri', 'RS Mitra International', '811199', 480000, 480000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17673, '75010905', '2004', '17673', '20040809', '20040804', '', 'Pegawai', 'dr Valentin', '811199', 430000, 430000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17674, '65970482', '2004', '17674', '20040809', '20040804', '', 'Pegawai', 'dr Bambang', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17675, '69940161', '2004', '17675', '20040809', '20040804', '', 'Pegawai', 'RS MMC', '811199', 465100, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17676, '70980570', '2004', '17676', '20040809', '20040804', 'Eer', 'Isteri', 'RS Haji Jakarta', '811199', 290200, 290200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17677, '63920047', '2004', '17677', '20040809', '20040729', '', 'Isteri', 'dr Handaya', '811199', 501900, 501900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17678, '60920075', '2004', '17678', '20040809', '20040804', 'Harmien Citra Gayatri', 'Anak II', 'dr Tadjudin', '811199', 958400, 958400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17679, '66950220', '2004', '17679', '20040809', '20040805', 'Nastiti Andini', 'Anak I', 'Bidan Indah', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17680, '72950205', '2004', '17680', '20040812', '20040806', 'Rizqullah Ishaq', 'Anak I', 'RSIA Tumbuh Kembang', '811199', 227100, 182100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17681, '70930144', '2004', '17681', '20040812', '20040715', '', 'Anak I', 'dr Gunawan', '811199', 160500, 124474, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17682, '49920032', '2004', '17682', '20040812', '20040806', 'Ramdani', 'Anak III', 'RS THT Proklamasi', '811199', 158700, 158700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17683, '5540008', '2004', '17683', '20040812', '20040804', '', 'Pegawai', 'RS Pertamina', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17684, '68000709', '2004', '17684', '20040812', '20040805', '', 'Isteri', 'RS Hermina', '811199', 113950, 113950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17685, '71011018', '2004', '17685', '20040812', '20040808', '', 'Anak I', 'Ritifa Medika', '811199', 109200, 109200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17686, '17300901', '2004', '17686', '20040812', '20040806', '', 'Anak I', 'RS Hermina', '811199', 164876, 164876, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17687, '69960413', '2004', '17687', '20040812', '20040804', '', 'Pegawai', 'dr Yustin', '811199', 345000, 345000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17688, '65920039', '2004', '17688', '20040812', '20040803', '', 'Anak I', 'RS Int,l Bintaro', '811199', 362164, 362164, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17689, '66000734', '2004', '17689', '20040812', '20040806', '', 'Anak I', 'JMC', '811199', 480800, 307000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17690, '62920060', '2004', '17690', '20040812', '20040807', 'Osama Ladn Rayhan', 'Anak I', 'dr Ahmad', '811199', 154400, 154400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17691, '79042170', '2004', '17691', '20040812', '20040810', '', 'Pegawai', 'dr Rudy Andreas', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17692, '60980529', '2004', '17692', '20040812', '20040802', 'Yuli Martina', 'Isteri', 'RS Haji', '811199', 232000, 232000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17693, '68960412', '2004', '17693', '20040812', '20040802', '', 'Pegawai', 'drg Ratna S', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17694, '60970479', '2004', '17694', '20040812', '20040807', '', 'Pegawai', 'drg Hendrik Irawan', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17695, '82031936', '2004', '17695', '20040812', '20040731', '', 'Pegawai', 'drg Poernomo', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17696, '80042212', '2004', '17696', '20040812', '20040811', '', 'Pegawai', 'RS Medistra', '811199', 247200, 247200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17697, '66920026', '2004', '17697', '20040812', '20040805', 'Ngakan Made Prakasa Judha', 'Anak II', 'RS Int,l Bintaro', '811199', 277487, 277487, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17698, '59021080', '2004', '17698', '20040812', '20040810', '', 'Pegawai', 'Erra Medika', '811199', 94100, 94100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17699, '79042170', '2004', '17699', '20040812', '20040807', '', 'Pegawai', 'dr Rudy Andreas', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17700, '17601989', '2004', '17700', '20040812', '20040810', '', 'Pegawai', 'Aptk Sabang', '811199', 101500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17701, '63970478', '2004', '17701', '20040812', '20040810', '', 'Pegawai', 'dr Bernhard', '811199', 253200, 253200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17702, '60970474', '2004', '17702', '20040812', '20040805', '', 'Pegawai', 'dr Januar', '811199', 317000, 317000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17703, '56920028', '2004', '17703', '20040812', '20040806', 'Rezanov Duta Condaka', 'Anak II', 'Klinik Mekar Sari', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17704, '76030008', '2004', '17704', '20040812', '20040803', '', 'Anak I', 'dr Soerachmo', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17705, '73042189', '2004', '17705', '20040812', '20040810', '', 'Isteri', 'dr Adiyono', '811199', 563000, 563000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17706, '75021078', '2004', '17706', '20040812', '20040811', 'Natasya', 'Anak I', 'BKR MKGR', '811199', 232700, 232700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17707, '66920106', '2004', '17707', '20040812', '20040810', 'Fitriani', 'Isteri', 'BP Yadi', '811199', 410000, 410000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17708, '67920089', '2004', '17708', '20040812', '20040809', 'Muhammad Ilham Kamil', 'Anak II', 'JMC', '811199', 598100, 598100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17709, '77011016', '2004', '17709', '20040812', '20040730', '', 'Pegawai', 'RS JMC', '811199', 292800, 292800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17710, '72000707', '2004', '17710', '20040812', '20040805', '', 'Anak I', 'dr Endang', '811199', 138300, 138300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17711, '72000794', '2004', '17711', '20040812', '20040809', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 731698, 731698, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17712, '17700818', '2004', '17712', '20040812', '20040808', '', 'Pegawai', 'dr David Agus', '811199', 225000, 225000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17713, '61970468', '2004', '17713', '20040812', '20040811', '', 'Anak I', 'RS Budhi Jaya', '811199', 218500, 218500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17714, '71990599', '2004', '17714', '20040812', '20040809', '', 'Pegawai', 'RS OMC', '811199', 573800, 573800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17715, '63950190', '2004', '17715', '20040812', '20040807', '', 'Anak I', 'drg Narcelina', '811199', 265000, 265000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17716, '70031507', '2004', '17716', '20040812', '20040807', '', 'Anak I', 'dr H Koesprapto', '811199', 191000, 191000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17717, '72021108', '2004', '17717', '20040812', '20040810', '', 'Pegawai', 'dr Abdullah', '811199', 293600, 293600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17718, '65920077', '2004', '17718', '20040812', '20040809', '', 'Pegawai', 'dr Lily Winata', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17719, '70960409', '2004', '17719', '20040812', '20040810', '', 'Pegawai', 'RS Bhakti Yudha', '811199', 136000, 136000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17720, '69960401', '2004', '17720', '20040812', '20040810', 'Elly S. Abdurachman', 'Isteri', 'dr Gunawan', '811199', 58000, 58000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17721, '68950221', '2004', '17721', '20040812', '20040809', '', 'Pegawai', 'dr H Tjetjep', '811199', 100000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17722, '71042262', '2004', '17722', '20040812', '20040806', '', 'Isteri', 'RS Lamongan Indah', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17723, '71950367', '2004', '17723', '20040812', '20040803', '', 'Anak II', 'RS Cikini', '811199', 259900, 259900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17724, '79042172', '2004', '17724', '20040812', '20040809', '', 'Isteri', 'RS Hermina', '811199', 113350, 113350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17725, '16801865', '2004', '17725', '20040812', '20040810', 'Sulami A.', 'Isteri', 'dr Adrul Muslim', '811199', 216025, 216025, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17726, '73010858', '2004', '17726', '20040812', '20040731', '', 'Anak I', 'RS Mitra', '811199', 167668, 167668, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17727, '79031739', '2004', '17727', '20040812', '20040804', '', 'Pegawai', 'dr I Made', '811199', 560500, 560500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17728, '76980517', '2004', '17728', '20040812', '20040722', '', 'Isteri', 'RS Puri Cinere', '811199', 273400, 273400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17729, '60950353', '2004', '17729', '20040812', '20040807', '', 'Anak I', 'RS MMC', '811199', 452456, 452456, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17730, '68920057', '2004', '17730', '20040812', '20040806', '', 'Anak I', 'RS Puri Cinere', '811199', 325000, 325000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17731, '64010984', '2004', '17731', '20040812', '20040807', '', 'Pegawai', 'dr Prihadi Estu', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17732, '63950190', '2004', '17732', '20040812', '20040806', '', 'Anak I', 'dr Eva Y', '811199', 516000, 166000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17733, '72000703', '2004', '17733', '20040812', '20040808', '', 'Pegawai', 'Century', '811199', 110500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17734, '55021244', '2004', '17734', '20040812', '20040809', '', 'Pegawai', 'RS Aini', '811199', 137900, 137900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17735, '75990602', '2004', '17735', '20040812', '20040809', '', 'Pegawai', 'drg Maulana', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17736, '72980510', '2004', '17736', '20040812', '20040807', 'M. Nur Muhriza', 'Anak I', 'RS Thamrin', '811199', 254100, 254100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17737, '60960384', '2004', '17737', '20040812', '20040804', '', 'Anak II', 'Klinik Medika', '811199', 156350, 156350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17738, '69000692', '2004', '17738', '20040812', '20040805', 'Kartika', 'Anak II', 'RS Mitra', '811199', 314607, 314607, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17739, '64920046', '2004', '17739', '20040812', '20040809', 'Aisyah Aprilea', 'Anak II', 'Difa Medika', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17740, '65980564', '2004', '17740', '20040812', '20040806', 'Sekar P. L', 'Anak III', 'RS Hermina', '811199', 396580, 396580, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17741, '65920048', '2004', '17741', '20040816', '20040811', '', 'Isteri', 'Klinik Reny Jaya', '811199', 82000, 82000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17742, '69021047', '2004', '17742', '20040816', '20040810', '', 'Anak I', 'dr Hartati', '811199', 213500, 213500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17743, '75000720', '2004', '17743', '20040816', '20040812', '', 'Pegawai', 'dr Karno Suprapto', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17744, '66010859', '2004', '17744', '20040816', '20040811', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 290800, 290800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17745, '51030006', '2004', '17745', '20040816', '20040808', '', 'Isteri', 'dr Koko Pranatio', '811199', 2221800, 2221800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17746, '69000687', '2004', '17746', '20040816', '20040809', '', 'Pegawai', 'RSPI', '811199', 619337, 619337, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17747, '66000734', '2004', '17747', '20040816', '20040806', '', 'Anak I', 'JMC', '811199', 173800, 173800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17748, '67950172', '2004', '17748', '20040816', '20040807', '', 'Pegawai', 'RS Permata Cibubur', '811199', 757819, 757819, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17749, '70031507', '2004', '17749', '20040816', '20040812', '', 'Anak I', 'Aptk Restu Ibu', '811199', 181800, 181800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17750, '69000669', '2004', '17750', '20040816', '20040813', '', 'Anak I', 'dr Ismu', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17751, '74990649', '2004', '17751', '20040816', '20040811', '', 'Pegawai', 'drg Atika', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17752, '74021101', '2004', '17752', '20040816', '20040810', '', 'Pegawai', 'RS Tria Dipa', '811199', 217000, 217000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17753, '73000708', '2004', '17753', '20040816', '20040807', '', 'Anak I', 'dr Harry P', '811199', 635000, 635000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17754, '16801896', '2004', '17754', '20040816', '20040807', '', 'Pegawai', 'dr Adnan', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17755, '63970464', '2004', '17755', '20040816', '20040812', '', 'Pegawai', 'drg Bambang', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17756, '70950370', '2004', '17756', '20040816', '20040812', '', 'Pegawai', 'RS Medistra', '811199', 597000, 597000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17757, '66970463', '2004', '17757', '20040816', '20040813', '', 'Pegawai', 'drg Koesmanto', '811199', 500000, 196750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17758, '70010898', '2004', '17758', '20040816', '20040814', 'Anindya F.', 'Anak I', 'RS Permata Cibubur', '811199', 273100, 273100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17759, '64970465', '2004', '17759', '20040816', '20040813', '', 'Pegawai', 'JMC', '811199', 116700, 116700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17760, '60032087', '2004', '17760', '20040816', '20040806', '', 'Anak I', 'dr Afriyanti', '811199', 314000, 314000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17761, '60970479', '2004', '17761', '20040816', '20040814', '', 'Pegawai', 'dr Teddy Tjahjanto', '811199', 224900, 224900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17762, '68970466', '2004', '17762', '20040816', '20040814', '', 'Pegawai', 'RS Mitra', '811199', 82900, 82900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17763, '65970482', '2004', '17763', '20040816', '20040813', '', 'Pegawai', 'dr Bambang', '811199', 52000, 52000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17764, '55021244', '2004', '17764', '20040816', '20040731', '', 'Anak I', 'dr HM Usman', '811199', 143000, 143000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17765, '57930113', '2004', '17765', '20040816', '20040727', 'Dewi Marlini', 'Isteri', 'dr Waluyo', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17766, '59920030', '2004', '17766', '20040816', '20040811', '', 'Pegawai', 'Kharinta Dental Clinic', '811199', 2770000, 2770000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17767, '71990647', '2004', '17767', '20040816', '20040812', 'Yanti Sinaga', 'Isteri', 'RS Petamburan', '811199', 321000, 321000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17768, '75010905', '2004', '17768', '20040816', '20040810', '', 'Pegawai', 'dr Lusi Agung', '811199', 121100, 121100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17769, '72099654', '2004', '17769', '20040816', '20040806', '', 'Anak I', 'Aptk Aji Waras', '811199', 125900, 125900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17770, '79030001', '2004', '17770', '20040816', '20040814', '', 'Pegawai', 'Kamila Medika', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17771, '68000709', '2004', '17771', '20040816', '20040812', '', 'Isteri', 'RS Hermina', '811199', 189250, 189250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17772, '62920050', '2004', '17772', '20040816', '20040813', '', 'Pegawai', 'dr Koesmanto', '811199', 81900, 81900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17773, '73950170', '2004', '17773', '20040816', '20040814', '', 'Pegawai', 'drg Rita Suryati', '811199', 334000, 334000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17774, '51030006', '2004', '17774', '20040819', '20040719', '', 'Pegawai', 'dr Indrajana', '811199', 1015000, 1015000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17775, '62920060', '2004', '17775', '20040819', '20040814', '', 'Anak II', 'dr Ahmad', '811199', 112500, 112500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17776, '67920089', '2004', '17776', '20040819', '20040816', 'Fawwaz Aulia Fadhil', 'Anak I', 'RSCM', '811199', 581500, 581500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17777, '71990599', '2004', '17777', '20040819', '20040816', '', 'Pegawai', 'Klinik Pemuda', '811199', 319800, 319800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17778, '66990584', '2004', '17778', '20040819', '20040813', 'Andi Ernawati SE', 'Isteri', 'RS Hermina', '811199', 296800, 296800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17779, '76021052', '2004', '17779', '20040819', '20040806', '', 'Pegawai', 'Klinik Umum yunda', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17780, '69960401', '2004', '17780', '20040819', '20040804', 'Rafiqi Luthfan', 'Anak I', 'dr Riri', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17781, '68000760', '2004', '17781', '20040819', '20040814', 'Athifah Hanani', 'Anak II', 'dr Suhandi', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17782, '72099654', '2004', '17782', '20040819', '20040815', '', 'Pegawai', 'RS Jakarta', '811199', 283600, 283600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17783, '71011018', '2004', '17783', '20040819', '20040813', '', 'Anak I', 'RS Hermina', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17784, '68000752', '2004', '17784', '20040819', '20040814', '', 'Anak II', 'Aptk Aji Waras', '811199', 116900, 116900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17785, '17700818', '2004', '17785', '20040819', '20040814', '', 'Pegawai', 'dr David Agus', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17786, '58021106', '2004', '17786', '20040819', '20040810', 'Dhannang', 'Anak I', 'dr Widjojo', '811199', 99300, 99300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17787, '76021236', '2004', '17787', '20040819', '20040815', '', 'Pegawai', 'Bidan Sri Rochmani', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17788, '70000684', '2004', '17788', '20040819', '20040816', '', 'Anak I', 'dr Gatami', '811199', 184800, 184800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17789, '61950175', '2004', '17789', '20040819', '20040816', 'Sri Wahyuni', 'Isteri', 'RS Hermina', '811199', 582675, 582675, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17790, '70000717', '2004', '17790', '20040819', '20040818', '', 'Pegawai', 'JEC', '811199', 262000, 262000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17791, '69940161', '2004', '17791', '20040819', '20040813', 'Kalista Adjani', 'Anak II', 'dr Tin', '811199', 169600, 169600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17792, '17601989', '2004', '17792', '20040819', '20040814', '', 'Pegawai', 'Aptk Santika', '811199', 50500, 50500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17793, '74950356', '2004', '17793', '20040819', '20040816', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 216500, 216500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17794, '65930147', '2004', '17794', '20040819', '20040818', 'Kristina Nursanti', 'Isteri', 'RS Yadika', '811199', 287500, 287500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17795, '00030010', '2004', '17795', '20040819', '20040807', '', 'Pegawai', 'RS Hermina', '811199', 493600, 493600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17796, '79031739', '2004', '17796', '20040819', '20040816', '', 'Pegawai', 'dr I Made', '811199', 396000, 396000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17797, '76021258', '2004', '17797', '20040819', '20040814', '', 'Pegawai', 'RS Puri Cinere', '811199', 365200, 348250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17798, '65000730', '2004', '17798', '20040819', '20040816', 'M.Fakhri S', 'Anak I', 'dr Johan Knoch', '811199', 567800, 567800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17799, '58000840', '2004', '17799', '20040819', '20040816', '', 'Pegawai', 'dr M Santoso', '811199', 516000, 516000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17800, '64920046', '2004', '17800', '20040819', '20040816', '', 'Pegawai', 'drg Sri', '811199', 150700, 150700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17801, '67990636', '2004', '17801', '20040819', '20040420', 'Ria Maria', 'Isteri', 'RS Hermina', '811199', 1025975, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17802, '65960399', '2004', '17802', '20040819', '20040818', '', 'Pegawai', 'RS Siaga', '811199', 408450, 408450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17803, '61930122', '2004', '17803', '20040819', '20040813', '', 'Anak I', 'drg Shirly Sungkar', '811199', 1221500, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17804, '50010867', '2004', '17804', '20040819', '20040812', '', 'Pegawai', 'RS Restu Ibu', '811199', 605100, 605100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17805, '62920050', '2004', '17805', '20040819', '20040812', '', 'Pegawai', 'dr Koesmanto', '811199', 88300, 88300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17806, '77021138', '2004', '17806', '20040819', '20040816', '', 'Pegawai', 'Klinik Petukangan', '811199', 139000, 139000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17807, '70990586', '2004', '17807', '20040819', '20040814', '', 'Isteri', 'Rs Int Bintaro', '811199', 471416, 471416, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17808, '63990637', '2004', '17808', '20040819', '20040818', 'Hakimah Masfiah', 'Isteri', 'RS Haji', '811199', 654900, 654900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17809, '70950214', '2004', '17809', '20040819', '20040816', '', 'Anak I', 'Aptk sapta', '811199', 775600, 775600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17810, '65960348', '2004', '17810', '20040819', '20040813', '', 'Pegawai', 'RS Medistra', '811199', 265300, 265300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17811, '68920053', '2004', '17811', '20040819', '20040811', 'Janti Susanti', 'Isteri', 'RS Hermina', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17812, '60960384', '2004', '17812', '20040819', '20040814', '', 'Pegawai', 'Klinik Medika', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17813, '60960384', '2004', '17813', '20040819', '20040818', '', 'Pegawai', 'Drg. Hannie', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17814, '71990647', '2004', '17814', '20040819', '20040816', 'Yanti Sinaga', 'Isteri', 'RSAB Harkit', '811199', 115000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17815, '71940159', '2004', '17815', '20040819', '20040818', '', 'Pegawai', 'RSPI', '811199', 276802, 276802, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17816, '62920017', '2004', '17816', '20040819', '20040811', '', 'Anak I', 'dr Walinton', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17817, '72000696', '2004', '17817', '20040819', '20040811', 'Teti P.', 'Isteri', 'RS Haji Jakart', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17818, '69021141', '2004', '17818', '20040819', '20040814', '', 'Anak I', 'Dr Ellen', '811199', 260600, 260600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17819, '69940161', '2004', '17819', '20040819', '20040804', 'Kalista Adjani', 'Anak II', 'RS MMC', '811199', 465100, 465100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17820, '72000696', '2004', '17820', '20040823', '20040818', 'Teti P.', 'Isteri', 'RS Haji Jakart', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17821, '61930128', '2004', '17821', '20040823', '20040822', 'Indra Aristyanto', 'Anak II', 'RS PI', '811199', 718603, 93718, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17822, '60930116', '2004', '17822', '20040823', '20040816', '', 'Anak I', 'Dr I Budiman', '811199', 362050, 362050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17823, '74021263', '2004', '17823', '20040823', '20040814', '', 'Anak I', 'dr Bambang', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17824, '68970466', '2004', '17824', '20040823', '20040818', '', 'Pegawai', 'RS Mitra', '811199', 233900, 233900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17825, '70000791', '2004', '17825', '20040823', '20040819', 'Safarina', 'Isteri', 'RS Haji', '811199', 196600, 196600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17826, '57910014', '2004', '17826', '20040823', '20040819', 'Amir Shiddiq', 'Anak I', 'dr Yacob', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17827, '70960409', '2004', '17827', '20040823', '20040819', '', 'Pegawai', 'RS Bhakti Yud', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17828, '70000961', '2004', '17828', '20040823', '20040819', '', 'Isteri', 'RS B YPK', '811199', 480000, 480000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17829, '70980570', '2004', '17829', '20040823', '20040818', 'Eer', 'Isteri', 'RS Haji Jakart', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17830, '66920035', '2004', '17830', '20040823', '20040816', 'Reyhan Xhavier Makabbie Amir', 'Anak I', 'RS Int Bintaro', '811199', 621000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17831, '76030008', '2004', '17831', '20040823', '20040818', '', 'Anak I', 'dr Soerachmo', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17832, '78021087', '2004', '17832', '20040823', '20040818', '', 'Pegawai', 'drg. Anna Sari', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17833, '17601989', '2004', '17833', '20040823', '20040818', '', 'Pegawai', 'Aptk RSCM', '811199', 120400, 120400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17834, '74950226', '2004', '17834', '20040823', '20040818', 'Syifa Ghallyah', 'Anak I', 'dr Tan Gek So', '811199', 88500, 88500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17835, '69000848', '2004', '17835', '20040823', '20040806', 'Zukhrufika', 'Anak I', 'dr Nurvita', '811199', 330000, 330000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17836, '65980552', '2004', '17836', '20040823', '20040731', '', 'Pegawai', 'dr Yenni', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17837, '63920052', '2004', '17837', '20040823', '20040820', 'Asti Rizkiana V', 'Isteri', 'RS Mitra', '811199', 367663, 367663, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17838, '73000708', '2004', '17838', '20040823', '20040820', '', 'Anak I', 'RS Puri Cinere', '811199', 337400, 335928, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17839, '17501981', '2004', '17839', '20040819', '20040813', '', 'Pegawai', 'RS Saint Carolus', '811199', 247100, 247100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17840, '74031438', '2004', '17840', '20040823', '20040812', '', 'Pegawai', 'RSAB Harapan', '811199', 241500, 241500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17841, '65960379', '2004', '17841', '20040823', '20040809', 'Arum Rosmawangi', 'Isteri', 'RS MMC', '811199', 353000, 118000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17842, '67920089', '2004', '17842', '20040823', '20040820', 'Fawwaz Aulia Fadhil', 'Anak I', 'RSCM', '811199', 310500, 310500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17843, '67920049', '2004', '17843', '20040823', '20040818', '', 'Pegawai', 'RS Bina Husad', '811199', 334900, 334900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17844, '66000734', '2004', '17844', '20040823', '20040820', '', 'Anak I', 'JMC', '811199', 257900, 257900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17845, '64930109', '2004', '17845', '20040823', '20040818', 'Muhammad Cesare Wicaksana Nero', 'Anak I', 'dr Huda', '811199', 645485, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17846, '68960412', '2004', '17846', '20040823', '20040829', 'Michelle Shan C.', 'Anak I', 'Klinik Tiara', '811199', 284000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17847, '69950178', '2004', '17847', '20040823', '20040823', '', 'Pegawai', 'RS Medistra', '811199', 163000, 163000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17848, '63970464', '2004', '17848', '20040823', '20040820', '', 'Pegawai', 'Ladokgi', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17849, '66920106', '2004', '17849', '20040823', '20040823', '', 'Pegawai', 'drg Sunarto', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17850, '66042232', '2004', '17850', '20040823', '20040811', '', 'Pegawai', 'Klinik Medika', '811199', 54000, 54000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17851, '80042199', '2004', '17851', '20040823', '20040817', '', 'Pegawai', 'RS Tugu Ibu', '811199', 87000, 87000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17852, '62920050', '2004', '17852', '20040823', '20040823', '', 'Pegawai', 'dr Koesmanto', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17853, '76980517', '2004', '17853', '20040826', '20040816', '', 'Pegawai', 'RS Prima Husada', '811199', 227300, 227300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17854, '77021138', '2004', '17854', '20040826', '20040825', '', 'Pegawai', 'dr L.A Lesmana', '811199', 250000, 194200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17855, '78021087', '2004', '17855', '20040826', '20040823', '', 'Pegawai', 'Klinik Karya Medika', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17856, '72000696', '2004', '17856', '20040826', '20040823', '', 'Anak I', 'RSIA Hermina', '811199', 125400, 125400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17857, '76021234', '2004', '17857', '20040826', '20040824', '', 'Pegawai', 'Klinik Mulya', '811199', 152000, 152000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17858, '75020001', '2004', '17858', '20040826', '20040821', '', 'Pegawai', 'dr Mulyadi', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17859, '74990649', '2004', '17859', '20040826', '20040729', '', 'Pegawai', 'dr Teguh', '811199', 83000, 83000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17860, '70940155', '2004', '17860', '20040826', '20040824', 'Astri FW.', 'Anak I', 'Aptk Ganesha', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17861, '63950202', '2004', '17861', '20040826', '20040712', 'Habapusilah', 'Isteri', 'dr Talena', '811199', 203000, 173000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17862, '17501981', '2004', '17862', '20040826', '20040813', '', 'Pegawai', 'RS Saint Carolus', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17863, '72021050', '2004', '17863', '20040826', '20040822', '', 'Isteri', 'dr B Hariyanto', '811199', 395400, 395400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17864, '72000772', '2004', '17864', '20040826', '20040821', '', 'Isteri', 'RS Harapan Bunda', '811199', 359500, 359500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17865, '67960411', '2004', '17865', '20040826', '20040819', 'Achmad Rizki Noversi', 'Anak I', 'RB Citra Ananda', '811199', 226000, 226000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17866, '67950193', '2004', '17866', '20040826', '20040807', '', 'Pegawai', 'Kharinta Dental', '811199', 700000, 700000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17867, '77021067', '2004', '17867', '20040826', '20040823', '', 'Pegawai', 'YPK', '811199', 264000, 264000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17868, '70950204', '2004', '17868', '20040826', '20040819', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'dr Toniman', '811199', 178000, 178000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17869, '65970482', '2004', '17869', '20040826', '20040822', '', 'Pegawai', 'dr Bambang', '811199', 56000, 56000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17870, '61930122', '2004', '17870', '20040826', '20040810', '', 'Pegawai', 'RS Medika', '811199', 624600, 624600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17871, '61930122', '2004', '17871', '20040826', '20040817', '', 'Pegawai', 'drg Shirly Sungkar', '811199', 1268500, 1268500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17872, '63920047', '2004', '17872', '20040826', '20040821', '', 'Isteri', 'dr Handaya', '811199', 408000, 408000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17873, '74970450', '2004', '17873', '20040826', '20040819', '', 'Pegawai', 'RSIA Hermina', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17874, '69000687', '2004', '17874', '20040826', '20040821', '', 'Pegawai', 'RS Int''l Bintaro', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17875, '61920045', '2004', '17875', '20040826', '20040816', 'Sutirma J.Rosalina', 'Isteri', 'RS Tumbuh Kembang', '811199', 383700, 383700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17876, '65950196', '2004', '17876', '20040826', '20040821', '', 'Pegawai', 'RS MMC', '811199', 361000, 361000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17877, '65010987', '2004', '17877', '20040826', '20040814', '', 'Anak I', 'Aptk Legenda', '811199', 111000, 111000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17878, '69960401', '2004', '17878', '20040831', '20040827', 'Naufal Rizqulloh', 'Anak II', 'RS Hermina', '811199', 237200, 237200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17879, '65920018', '2004', '17879', '20040831', '20040829', 'Aslha', 'Anak III', 'dr Himawan', '811199', 119500, 119500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17880, '66010859', '2004', '17880', '20040831', '20040829', 'Anisya B.', 'Anak I', 'dr Kamal', '811199', 162000, 162000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17881, '66000734', '2004', '17881', '20040831', '20040829', '', 'Pegawai', 'dr M Arif', '811199', 198200, 198200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17882, '70950204', '2004', '17882', '20040831', '20040826', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'dr Toniman', '811199', 162900, 162900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17883, '63000711', '2004', '17883', '20040831', '20040803', 'Inas Fadillah', 'Anak I', 'drg Rita', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17884, '76980517', '2004', '17884', '20040831', '20040826', '', 'Isteri', 'RS Puri Cinere', '811199', 253400, 253400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17885, '70970475', '2004', '17885', '20040831', '20040817', '', 'Anak I', 'RS Hermina', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17886, '72950364', '2004', '17886', '20040831', '20040825', '', 'Pegawai', 'RS Tria Dipa', '811199', 117000, 117000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17887, '59950195', '2004', '17887', '20040831', '20040826', '', 'Anak II', 'dr Gunawan', '811199', 638100, 638100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17888, '72099654', '2004', '17888', '20040831', '20040824', '', 'Anak I', 'Aptk Aji Waras', '811199', 181500, 181500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17889, '71011018', '2004', '17889', '20040831', '20040825', '', 'Pegawai', 'Aptk Ritifa', '811199', 119300, 119300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17890, '70000717', '2004', '17890', '20040831', '20040822', '', 'Isteri', 'RS Int,l Bintaro', '811199', 881378, 881378, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17891, '70960409', '2004', '17891', '20040831', '20040826', '', 'Pegawai', 'RS Bhakti Yudha', '811199', 295000, 295000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17892, '60920075', '2004', '17892', '20040831', '20040827', 'Harmien Citra Gayatri', 'Anak II', 'drg Ismu', '811199', 714600, 493600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17893, '70940155', '2004', '17893', '20040831', '20040829', 'Astri FW.', 'Anak I', 'RS Hermina', '811199', 129765, 129765, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17894, '75020004', '2004', '17894', '20040831', '20040827', '', 'Isteri', 'dr Maulana', '811199', 137800, 137800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17895, '70990648', '2004', '17895', '20040831', '20040825', 'Faizah Rahmah Izzatudini', 'Anak I', 'drg Indriathi', '811199', 79000, 79000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17896, '73960391', '2004', '17896', '20040831', '20040810', 'Reynard', 'Anak I', 'RS Hermina', '811199', 154600, 154600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17897, '66990584', '2004', '17897', '20040831', '20040813', 'Andi Ernawati SE', 'Isteri', 'RS Hermina', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17898, '69980544', '2004', '17898', '20040831', '20040828', 'Ramadhani Malik Abdillah', 'Anak I', 'RS Hermina', '811199', 198860, 198860, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17899, '66920026', '2004', '17899', '20040831', '20040828', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 329863, 329863, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17900, '65920033', '2004', '17900', '20040831', '20040829', '', 'Pegawai', 'dr Sri', '811199', 32300, 32300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17901, '62920060', '2004', '17901', '20040831', '20040825', 'Eni Erlina', 'Isteri', 'dr Freddy', '811199', 271600, 271600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17902, '16801865', '2004', '17902', '20040831', '20040827', 'Sulami A.', 'Isteri', 'dr Adrul Muslim', '811199', 165450, 165450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17903, '69940161', '2004', '17903', '20040831', '20040826', '', 'Pegawai', 'RS MMC', '811199', 249100, 249100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17904, '61950175', '2004', '17904', '20040831', '20040828', 'Novana Nisrina W', 'Anak I', 'RS Hermina', '811199', 295100, 295100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17905, '69950222', '2004', '17905', '20040831', '20040826', '', 'Anak I', 'Aptk Budhi Husada', '811199', 157000, 157000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17906, '70990586', '2004', '17906', '20040831', '20040819', '', 'Isteri', 'RS Int,l Bintaro', '811199', 165500, 165500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17907, '78042295', '2004', '17907', '20040831', '20040830', '', 'Pegawai', 'Klinik Bella', '811199', 274800, 274800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17908, '72980510', '2004', '17908', '20040831', '20040828', 'M. Nur Muhriza', 'Anak I', 'RS Thamrin', '811199', 157800, 157800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17909, '64930110', '2004', '17909', '20040831', '20040809', '', 'Isteri', 'RSPI', '811199', 914000, 914000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17910, '60910007', '2004', '17910', '20040831', '20040820', '', 'Pegawai', 'dr Agus', '811199', 382500, 382500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17911, '66920074', '2004', '17911', '20040831', '20040802', 'Shinta Wahyuni', 'Isteri', 'RSPI', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17912, '71000750', '2004', '17912', '20040831', '20040823', '', 'Pegawai', 'drg John Sunandar', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17913, '72000696', '2004', '17913', '20040831', '20040827', '', 'Anak I', 'RSIA Hermina', '811199', 116000, 116000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17914, '77000672', '2004', '17914', '20040831', '20040828', '', 'Pegawai', 'RSIA Annisa', '811199', 105600, 105600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17915, '66920064', '2004', '17915', '20040831', '20040820', 'M. Eryan', 'Anak I', 'Raditya Medical', '811199', 163500, 163500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17916, '70000961', '2004', '17916', '20040831', '20040821', '', 'Isteri', 'RS B YPK', '811199', 1178500, 1178500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17917, '66920106', '2004', '17917', '20040831', '20040829', '', 'Pegawai', 'Klinik Bhakti', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17918, '65920039', '2004', '17918', '20040831', '20040821', '', 'Anak I', 'RS Int,l Bintaro', '811199', 189805, 189805, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17919, '68920057', '2004', '17919', '20040826', '20040824', '', 'Anak I', 'RS Puri Cinere', '811199', 279700, 279700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17920, '79031849', '2004', '17920', '20040826', '20040825', '', 'Pegawai', 'dr Indrajana', '811199', 336000, 231400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17921, '60950189', '2004', '17921', '20040826', '20040823', 'iis Elisabet', 'Isteri', 'dr Eddy Tahir', '811199', 274000, 274000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17922, '69950162', '2004', '17922', '20040826', '20040825', 'Muhammad Nadhif Judhananto', 'Anak I', 'dr Karel Staa', '811199', 320000, 320000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17923, '69960401', '2004', '17923', '20040826', '20040825', 'Naufal Rizqulloh', 'Anak II', 'dr Gunawan', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17924, '17501895', '2004', '17924', '20040826', '20040815', '', 'Anak I', 'dr Baralangi', '811199', 138000, 138000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17925, '75010905', '2004', '17925', '20040826', '20040816', '', 'Pegawai', 'dr Valentin', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17926, '64950219', '2004', '17926', '20040826', '20040812', '', 'Pegawai', 'drg Dani Amelia', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17927, '80021417', '2004', '17927', '20040826', '20040820', '', 'Pegawai', 'RS JMC', '811199', 112300, 112300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17928, '64920046', '2004', '17928', '20040826', '20040824', '', 'Pegawai', 'drg Sri', '811199', 287800, 287800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17929, '65920033', '2004', '17929', '20040826', '20040825', '', 'Anak III', 'dr Sri', '811199', 143400, 143400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17930, '60930116', '2004', '17930', '20040826', '20040818', '', 'Anak I', 'Kemang Dental', '811199', 1654300, 1654300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17931, '58021106', '2004', '17931', '20040831', '20040827', 'P. Bidadari', 'Isteri', 'dr Widjoyo', '811199', 94000, 94000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17932, '68000709', '2004', '17932', '20040831', '20040825', '', 'Anak I', 'RS Hermina', '811199', 127000, 127000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17933, '79042234', '2004', '17933', '20040831', '20040714', '', 'Pegawai', 'RS Pasar Rebo', '811199', 275764, 275764, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17934, '68000752', '2004', '17934', '20040831', '20040819', 'Harits Sudarsono M', 'Anak I', 'Aptk Aji Waras', '811199', 116100, 116100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17935, '74021263', '2004', '17935', '20040831', '20040825', '', 'Anak I', 'Klinik Prima Medika', '811199', 241300, 241300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17936, '73010858', '2004', '17936', '20040831', '20040824', '', 'Anak I', 'RS Mitra', '811199', 378000, 42074, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17937, '17700818', '2004', '17937', '20040831', '20040829', '', 'Pegawai', 'dr David Agus', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17938, '73021088', '2004', '17938', '20040831', '20040829', '', 'Isteri', 'dr Anton', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17939, '66000735', '2004', '17939', '20040831', '20040826', '', 'Anak I', 'RS Tugu Ibu', '811199', 429800, 429800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17940, '63970478', '2004', '17940', '20040831', '20040820', '', 'Pegawai', 'dr Bernhard', '811199', 238300, 238300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17941, '66920035', '2004', '17941', '20040831', '20040825', '', 'Pegawai', 'Aptk Kawi Jaya', '811199', 235000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17942, '55021244', '2004', '17942', '20040831', '20040821', '', 'Anak I', 'dr Usman', '811199', 191000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17943, '66950220', '2004', '17943', '20040903', '20040831', 'Venny Andrianingtias', 'Anak II', 'RS Putra Dalima', '811199', 226020, 226020, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17944, '69000669', '2004', '17944', '20040903', '20040826', '', 'Anak II', 'RS Tria Dipa', '811199', 435100, 435100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17945, '16801896', '2004', '17945', '20040903', '20040831', '', 'Pegawai', 'dr Adnan', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17946, '71980551', '2004', '17946', '20040903', '20040827', '', 'Pegawai', 'drg Endang Ekowati', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17947, '59920104', '2004', '17947', '20040903', '20040827', 'Alur Kristianto', 'Anak III', 'RS Mitra Keluarga', '811199', 616300, 616300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17948, '69032076', '2004', '17948', '20040903', '20040817', '', 'Pegawai', 'Aptk Karunia Iman', '811199', 160000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17949, '72950223', '2004', '17949', '20040903', '20040828', 'Titin Yuniria', 'Isteri', 'Sarana Medika Baru', '811199', 44000, 44000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17950, '71990574', '2004', '17950', '20040903', '20040827', '', 'Pegawai', 'Klinik Depok 2000', '811199', 79700, 79700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17951, '66920067', '2004', '17951', '20040903', '20040724', '', 'Anak I', 'dr H Ahmad', '811199', 483200, 359500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17952, '72000707', '2004', '17952', '20040903', '20040823', '', 'Anak I', 'dr Endang', '811199', 164600, 164600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17953, '65980564', '2004', '17953', '20040903', '20040823', 'Bagas Juwono Priambodo', 'Anak II', 'RS Hermina', '811199', 381320, 381320, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17954, '65021085', '2004', '17954', '20040903', '20040820', '', 'Pegawai', 'Klinik Samarinda', '811199', 230500, 230500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17955, '60950353', '2004', '17955', '20040903', '20040829', '', 'Anak I', 'RS Int,l Bintaro', '811199', 155707, 155707, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17956, '17301957', '2004', '17956', '20040903', '20040828', '', 'Anak I', 'RS Hermina', '811199', 438960, 438960, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17957, '67920089', '2004', '17957', '20040903', '20040831', 'Muhammad Ilham Kamil', 'Anak II', 'RS MMC', '811199', 546000, 546000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17958, '71042262', '2004', '17958', '20040903', '20040826', '', 'Anak I', 'dr Aestono', '811199', 187400, 187400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17959, '70920034', '2004', '17959', '20040903', '20040831', '', 'Pegawai', 'RS Mitra', '811199', 373000, 373000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17960, '69980544', '2004', '17960', '20040903', '20040830', '', 'Pegawai', 'RS Azra', '811199', 341000, 341000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17961, '63970464', '2004', '17961', '20040903', '20040901', '', 'Pegawai', 'drg Koesmanto', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17962, '69960401', '2004', '17962', '20040903', '20040901', 'Naufal Rizqulloh', 'Anak II', 'RS Medika Galaxi', '811199', 105150, 105150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17963, '79010894', '2004', '17963', '20040903', '20040830', '', 'Pegawai', 'drg Djaja Sumanti', '811199', 372000, 372000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17964, '68960412', '2004', '17964', '20040903', '20040820', '', 'Pegawai', 'drg Ratna', '811199', 20000, 20000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17965, '68960412', '2004', '17965', '20040903', '20040813', '', 'Anak II', 'Klinik Tiara', '811199', 195000, 195000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17966, '72031488', '2004', '17966', '20040903', '20040827', '', 'Pegawai', 'dr Bambang', '811199', 243100, 243100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17967, '72950223', '2004', '17967', '20040903', '20040901', 'Titin Yuniria', 'Isteri', 'Sarana Medika Baru', '811199', 32000, 32000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17968, '75980563', '2004', '17968', '20040903', '20040828', '', 'Anak I', 'RS Hermina', '811199', 286700, 286700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17969, '75980563', '2004', '17969', '20040903', '20040830', '', 'Anak I', 'RS Hermina', '811199', 114000, 114000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17970, '17601989', '2004', '17970', '20040903', '20040831', '', 'Pegawai', 'RS Alvernia Agusta', '811199', 152300, 152300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17971, '71042262', '2004', '17971', '20040903', '20040831', '', 'Isteri', 'RS Lamongan', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17972, '71042200', '2004', '17972', '20040903', '20040831', '', 'Anak I', 'RS Puri Cinere', '811199', 701900, 701900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17973, '70950183', '2004', '17973', '20040907', '20040904', '', 'Pegawai', 'dr Paul F.G', '811199', 126200, 126200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17974, '78042328', '2004', '17974', '20040907', '20040906', '', 'Pegawai', 'Balai Bhakti Mulia', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17975, '63920047', '2004', '17975', '20040907', '20040902', '', 'Isteri', 'Yosa Medika', '811199', 260000, 260000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17976, '63010866', '2004', '17976', '20040907', '20040903', '', 'Isteri', 'RS Hermina Depok', '811199', 234800, 234800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17977, '70000961', '2004', '17977', '20040907', '20040902', '', 'Isteri', 'RS B YPK', '811199', 342500, 56000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17978, '79042170', '2004', '17978', '20040907', '20040904', '', 'Pegawai', 'dr Rudy Andreas', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17979, '65920033', '2004', '17979', '20040907', '20040904', '', 'Pegawai', 'dr Julia T', '811199', 133000, 133000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17980, '17601989', '2004', '17980', '20040907', '20040808', '', 'Pegawai', 'RSCM', '811199', 122400, 122400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17981, '79031761', '2004', '17981', '20040907', '20040823', '', 'Pegawai', 'Senopati Skin Center', '811199', 184900, 184900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17982, '61920045', '2004', '17982', '20040907', '20040904', '', 'Anak I', 'RS Tumbuh Kembang', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17983, '61000731', '2004', '17983', '20040907', '20040902', 'Sri Windarti', 'Isteri', 'RS Borromeus', '811199', 174400, 174400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17984, '67950213', '2004', '17984', '20040907', '20040903', 'Martadewi', 'Isteri', 'dr Asif Rianto', '811199', 1099200, 1099200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17985, '65940151', '2004', '17985', '20040907', '20040902', '', 'Pegawai', 'drg Anindita', '811199', 1469500, 1469500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17986, '64950171', '2004', '17986', '20040907', '20040901', '', 'Pegawai', 'RS Siaga', '811199', 788150, 788150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17987, '69960401', '2004', '17987', '20040907', '20040906', 'Rafiqi Luthfan', 'Anak I', 'dr Martha', '811199', 90300, 90300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17988, '56950201', '2004', '17988', '20040907', '20040903', '', 'Pegawai', 'dr Mochtar', '811199', 273200, 273200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17989, '70980570', '2004', '17989', '20040907', '20040831', 'Eer', 'Isteri', 'RS Haji Jakarta', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17990, '75000720', '2004', '17990', '20040907', '20040902', '', 'Pegawai', 'RS Puri Cinere', '811199', 395600, 395600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17991, '66920035', '2004', '17991', '20040907', '20040825', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 161000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17992, '62920060', '2004', '17992', '20040907', '20040902', '', 'Anak II', 'dr Ahmad', '811199', 326200, 326200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17993, '63000711', '2004', '17993', '20040907', '20040902', '', 'Pegawai', 'RS MMC', '811199', 912900, 912900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17994, '63990637', '2004', '17994', '20040907', '20040902', 'Imaduddin A.R', 'Anak I', 'RS Budhi Asis', '811199', 237500, 237500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17995, '66010859', '2004', '17995', '20040907', '20040901', 'Anisya B.', 'Anak I', 'dr Santy', '811199', 381000, 381000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17996, '62910008', '2004', '17996', '20040910', '20040907', 'Baldomero S. G.', 'Anak I', 'RS Int,l Bintaro', '811199', 735336, 665100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17997, '75010905', '2004', '17997', '20040910', '20040826', '', 'Pegawai', 'Aptk Sahabat', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17998, '66000734', '2004', '17998', '20040910', '20040906', '', 'Anak I', 'RS Medistra', '811199', 235800, 235800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (17999, '66000734', '2004', '17999', '20040910', '20040904', '', 'Anak I', 'dr Sunaryo', '811199', 117000, 117000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18000, '60980529', '2004', '18000', '20040910', '20040904', '', 'Pegawai', 'RS Haji', '811199', 310200, 310200, NULL, NULL, 'A', 'medical')





/* Data for the `MedicalRestitusiDetail` table  (Records 18001 - 18500) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18001, '64980559', '2004', '18001', '20040910', '20040803', 'Malika Daeng Ratang', 'Isteri', 'RS Graha Medika', '811199', 1251500, 69000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18002, '60970474', '2004', '18002', '20040910', '20040906', '', 'Pegawai', 'drg Melly', '811199', 429000, 429000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18003, '72000794', '2004', '18003', '20040910', '20040828', '', 'Anak I', 'RS Int,l Bintaro', '811199', 176514, 176514, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18004, '72000794', '2004', '18004', '20040910', '20040907', '', 'Isteri', 'RS Int,l Bintaro', '811199', 206107, 206107, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18005, '78021416', '2004', '18005', '20040910', '20040906', '', 'Pegawai', 'drg Lili Suhanda', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18006, '70950231', '2004', '18006', '20040910', '20040906', '', 'Pegawai', 'dr Agnes', '811199', 92000, 92000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18007, '69960396', '2004', '18007', '20040910', '20040831', '', 'Anak I', 'RS Puri Medika', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18008, '77011035', '2004', '18008', '20040910', '20040831', '', 'Pegawai', 'dr Wiranto', '811199', 165300, 165300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18009, '79010904', '2004', '18009', '20040910', '20040903', '', 'Pegawai', 'dr Retno', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18010, '17300901', '2004', '18010', '20040910', '20040828', '', 'Anak I', 'RS Hermina', '811199', 199805, 199805, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18011, '70000806', '2004', '18011', '20040910', '20040830', '', 'Pegawai', 'dr Nana Karnaen', '811199', 254000, 254000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18012, '74011037', '2004', '18012', '20040910', '20040808', '', 'Isteri', 'dr Subur', '811199', 246500, 206500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18013, '78010962', '2004', '18013', '20040910', '20040831', '', 'Isteri', 'dr Dian', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18014, '67960411', '2004', '18014', '20040910', '20040828', 'Fakhri Achmad', 'Anak II', 'RB Citra Ananda', '811199', 128000, 128000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18015, '72950223', '2004', '18015', '20040910', '20040904', 'Titin Yuniria', 'Isteri', 'Sarana Medika Baru', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18016, '72000772', '2004', '18016', '20040910', '20040904', '', 'Isteri', 'RS Harapan Bunda', '811199', 108800, 108800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18017, '71960398', '2004', '18017', '20040910', '20040903', '', 'Pegawai', 'dr Daniel B', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18018, '74990649', '2004', '18018', '20040910', '20040825', '', 'Pegawai', 'dr Bambang', '811199', 96200, 96200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18019, '60032087', '2004', '18019', '20040910', '20040906', '', 'Pegawai', 'dr Afriyanti', '811199', 138000, 138000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18020, '74950356', '2004', '18020', '20040910', '20040906', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 311800, 311800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18021, '68021246', '2004', '18021', '20040910', '20040830', '', 'Isteri', 'BKR MKGR', '811199', 155000, 155000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18022, '58000840', '2004', '18022', '20040910', '20040904', '', 'Pegawai', 'dr M Santoso', '811199', 183000, 183000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18023, '63970478', '2004', '18023', '20040910', '20040907', '', 'Pegawai', 'dr Bernhard', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18024, '66920106', '2004', '18024', '20040910', '20040902', 'Fitriani', 'Isteri', 'BP Yadi', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18025, '68920057', '2004', '18025', '20040910', '20040901', '', 'Anak I', 'RS Puri Cinere', '811199', 245000, 245000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18026, '65010987', '2004', '18026', '20040910', '20040903', '', 'Anak I', 'Aptk Legenda', '811199', 515000, 515000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18027, '68950371', '2004', '18027', '20040910', '20040906', 'Amarthya', 'Anak I', 'RSIA Permata', '811199', 122600, 122600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18028, '61950175', '2004', '18028', '20040910', '20040904', 'Novana Nisrina W', 'Anak I', 'RS Hermina', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18029, '67940157', '2004', '18029', '20040910', '20040830', '', 'Anak I', 'RS Evasari', '811199', 410500, 410500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18030, '69980544', '2004', '18030', '20040910', '20040907', '', 'Pegawai', 'RS Medistra', '811199', 265700, 265700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18031, '59021080', '2004', '18031', '20040910', '20040906', '', 'Anak I', 'dr Kamal', '811199', 141000, 141000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18032, '67940157', '2004', '18032', '20040910', '20040902', '', 'Isteri', 'dr Imansyah', '811199', 137500, 137500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18033, '69940161', '2004', '18033', '20040910', '20040908', 'Kalista Adjani', 'Anak II', 'dr Tin', '811199', 173800, 173800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18034, '77021429', '2004', '18034', '20040910', '20040909', '', 'Pegawai', 'RS Medistra', '811199', 147300, 147300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18035, '61930122', '2004', '18035', '20040910', '20040903', '', 'Pegawai', 'RS Medika', '811199', 289000, 289000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18036, '76030008', '2004', '18036', '20040910', '20040907', '', 'Anak I', 'dr Soerachmo', '811199', 114400, 114400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18037, '69021047', '2004', '18037', '20040910', '20040819', '', 'Anak I', 'dr Hartati', '811199', 128000, 128000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18038, '69950162', '2004', '18038', '20040910', '20040809', 'Muhammad Nadhif Judhananto', 'Anak I', 'dr Karel Staa', '811199', 104200, 104200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18039, '70950214', '2004', '18039', '20040910', '20040904', 'Pratiwi Hadi', 'Isteri', 'drg Suherman', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18040, '68000709', '2004', '18040', '20040910', '20040908', '', 'Anak I', 'RS Hermina', '811199', 161000, 161000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18041, '64920046', '2004', '18041', '20040910', '20040907', '', 'Pegawai', 'drg Sri', '811199', 89500, 89500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18042, '65980564', '2004', '18042', '20040910', '20040909', 'Sekar P. L', 'Anak III', 'RS Hermina', '811199', 171900, 171900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18043, '72021108', '2004', '18043', '20040910', '20040816', '', 'Isteri', 'RS JMC', '811199', 843000, 843000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18044, '72970503', '2004', '18044', '20040914', '20040907', '', 'Pegawai', 'RS Cikini', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18045, '70970475', '2004', '18045', '20040914', '20040911', '', 'Pegawai', 'RS Hermina', '811199', 382000, 382000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18046, '70950204', '2004', '18046', '20040914', '20040909', '', 'Pegawai', 'dr Gitta', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18047, '69950162', '2004', '18047', '20040914', '20040912', 'Sri Hardiastuti', 'Isteri', 'dr Maria', '811199', 624200, 624200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18048, '74990664', '2004', '18048', '20040914', '20040905', '', 'Pegawai', 'Gading Medika', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18049, '75950186', '2004', '18049', '20040914', '20040907', '', 'Pegawai', 'RS Cikini', '811199', 319400, 319400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18050, '70950231', '2004', '18050', '20040914', '20040910', '', 'Pegawai', 'drg Dian', '811199', 351900, 351900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18051, '81031469', '2004', '18051', '20040914', '20040907', '', 'Pegawai', 'dr Erwin', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18052, '70940155', '2004', '18052', '20040914', '20040911', '', 'Pegawai', 'drg Lily', '811199', 1348500, 1348500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18053, '65970482', '2004', '18053', '20040914', '20040909', '', 'Pegawai', 'dr Bambang', '811199', 57000, 57000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18054, '74950226', '2004', '18054', '20040914', '20040911', 'Sheza M. A.', 'Anak II', 'dr Tan Gek Soan', '811199', 87000, 87000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18055, '57920024', '2004', '18055', '20040914', '20040819', '', 'Isteri', 'RS Mitra', '811199', 427500, 427500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18056, '72950363', '2004', '18056', '20040914', '20040821', '', 'Anak I', 'RS Medistra', '811199', 196000, 196000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18057, '69980544', '2004', '18057', '20040914', '20040910', '', 'Pegawai', 'drg Dian', '811199', 1589400, 1589400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18058, '60910007', '2004', '18058', '20040914', '20040906', 'Rean Afizar', 'Anak I', 'dr Erda', '811199', 546300, 329000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18059, '60980529', '2004', '18059', '20040914', '20040913', 'Ani Novia', 'Anak I', 'RS Mitra', '811199', 715900, 715900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18060, '66990584', '2004', '18060', '20040914', '20040910', 'Andi Ernawati SE', 'Isteri', 'RS Hermina', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18061, '66980545', '2004', '18061', '20040914', '20040910', '', 'Pegawai', 'drg Firmansyur', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18062, '61950175', '2004', '18062', '20040914', '20040911', 'Farah Ramadhani', 'Anak II', 'dr Alan', '811199', 182500, 182500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18063, '71940159', '2004', '18063', '20040921', '20040917', '', 'Pegawai', 'RSPI', '811199', 260414, 260414, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18064, '73042189', '2004', '18064', '20040921', '20040911', '', 'Isteri', 'dr Lilien', '811199', 235200, 235200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18065, '70980570', '2004', '18065', '20040921', '20040910', '', 'Anak II', 'RS Haji Jakarta', '811199', 92300, 92300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18066, '57910014', '2004', '18066', '20040921', '20040915', '', 'Pegawai', 'Klinik Darma Bakti', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18067, '70950370', '2004', '18067', '20040921', '20040917', '', 'Pegawai', 'drg Lukas', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18068, '74950226', '2004', '18068', '20040921', '20040916', 'Sheza M. A.', 'Anak II', 'dr Tan Gek Soan', '811199', 82300, 82300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18069, '63990637', '2004', '18069', '20040921', '20040907', 'Imaduddin A.R', 'Anak I', 'RS Harapan Bunda', '811199', 295300, 295300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18070, '16801865', '2004', '18070', '20040921', '20040916', 'Sulami A.', 'Isteri', 'dr Adrul Muslim', '811199', 272400, 272400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18071, '59021080', '2004', '18071', '20040921', '20040915', '', 'Anak I', 'dr Kemal', '811199', 148000, 148000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18072, '65021085', '2004', '18072', '20040921', '20040908', '', 'Pegawai', 'dr Lianda Siregar', '811199', 239900, 239900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18073, '66920106', '2004', '18073', '20040921', '20040916', '', 'Pegawai', 'Klinik Bakti Sejahtera', '811199', 315000, 315000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18074, '58000840', '2004', '18074', '20040921', '20040915', '', 'Pegawai', 'dr M Santoso', '811199', 239000, 239000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18075, '66980545', '2004', '18075', '20040921', '20040916', '', 'Pegawai', 'RSIA Budhi Jaya', '811199', 263000, 263000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18076, '67940157', '2004', '18076', '20040921', '20040915', '', 'Isteri', 'RS Evasari', '811199', 152200, 152200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18077, '70990586', '2004', '18077', '20040921', '20040912', '', 'Pegawai', 'dr Ismail', '811199', 163500, 163500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18078, '79042172', '2004', '18078', '20040921', '20040916', '', 'Isteri', 'Aptk Kaliurang 24', '811199', 83700, 83700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18079, '67920089', '2004', '18079', '20040921', '20040918', '', 'Pegawai', 'dr Sutoyo', '811199', 170000, 6800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18080, '66920106', '2004', '18080', '20040921', '20040919', 'Fitriani', 'Isteri', 'BP Yadi', '811199', 230000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18081, '65920077', '2004', '18081', '20040921', '20040901', '', 'Pegawai', 'RS Medistra', '811199', 86900, 86900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18082, '77021067', '2004', '18082', '20040921', '20040915', '', 'Pegawai', 'RS JMC', '811199', 457000, 388850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18083, '74950356', '2004', '18083', '20040921', '20040915', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 218900, 218900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18084, '79042172', '2004', '18084', '20040921', '20040910', '', 'Isteri', 'dr Suharyono', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18085, '78021416', '2004', '18085', '20040921', '20040914', '', 'Pegawai', 'dr Titi S', '811199', 525000, 525000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18086, '67950193', '2004', '18086', '20040921', '20040906', '', 'Pegawai', 'drg Dian', '811199', 155000, 155000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18087, '70970475', '2004', '18087', '20040921', '20040914', '', 'Anak I', 'RS Anna', '811199', 105900, 105900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18088, '57920024', '2004', '18088', '20040921', '20040914', '', 'Anak I', 'RS Mitra', '811199', 1170800, 1170800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18089, '70960409', '2004', '18089', '20040921', '20040908', '', 'Pegawai', 'dr Efrida', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18090, '74000719', '2004', '18090', '20040921', '20040914', '', 'Pegawai', 'Klinik Limus', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18091, '75021078', '2004', '18091', '20040921', '20040912', 'Yulia N.', 'Isteri', 'BKR MKGR', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18092, '77021429', '2004', '18092', '20040921', '20040921', '', 'Pegawai', 'RS Medistra', '811199', 236400, 236400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18093, '58000807', '2004', '18093', '20040921', '20040826', '', 'Anak III', 'dr Rivai Usman', '811199', 103500, 103500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18094, '72000703', '2004', '18094', '20040921', '20040908', '', 'Pegawai', 'Century', '811199', 201250, 201250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18095, '76030008', '2004', '18095', '20040921', '20040917', '', 'Anak I', 'Aptk Keluarga Sehat', '811199', 65600, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18096, '64920046', '2004', '18096', '20040921', '20040916', '', 'Pegawai', 'drg Sri', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18097, '63920052', '2004', '18097', '20040921', '20040918', 'Asti Rizkiana V', 'Isteri', 'RS Mitra', '811199', 220954, 220954, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18098, '71011018', '2004', '18098', '20040921', '20040910', '', 'Anak I', 'RS Hermina', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18099, '16900803', '2004', '18099', '20040921', '20040811', '', 'Isteri', 'RS Bunda', '811199', 375000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18100, '73021143', '2004', '18100', '20040921', '20040831', '', 'Pegawai', 'Apotik Cempaka', '811199', 66700, 66700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18101, '60930116', '2004', '18101', '20040921', '20040901', '', 'Isteri', 'RS Mitra', '811199', 212500, 212500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18102, '54099650', '2004', '18102', '20040921', '20040914', '', 'Pegawai', 'RS Medistra', '811199', 317000, 317000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18103, '66000734', '2004', '18103', '20040921', '20040909', '', 'Anak I', 'JMC', '811199', 317400, 317400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18104, '66010859', '2004', '18104', '20040921', '20040914', 'Anisya B.', 'Anak I', 'dr Santy', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18105, '75010905', '2004', '18105', '20040921', '20040822', '', 'Pegawai', 'dr Valentin', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18106, '63970464', '2004', '18106', '20040921', '20040911', '', 'Pegawai', 'RS Patria', '811199', 79500, 79500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18107, '67960411', '2004', '18107', '20040921', '20040914', 'Fakhri Achmad', 'Anak II', 'RB Citra Ananda', '811199', 233000, 233000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18108, '73021088', '2004', '18108', '20040921', '20040914', '', 'Anak II', 'dr Afif Abbas', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18109, '63920052', '2004', '18109', '20040921', '20040907', '', 'Anak I', 'RS Mitra', '811199', 255000, 255000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18110, '77011017', '2004', '18110', '20040921', '20040913', '', 'Pegawai', 'dr Tinah Tan', '811199', 250000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18111, '66010859', '2004', '18111', '20040921', '20040917', 'Pratiti', 'Isteri', 'dr Santy', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18112, '74970450', '2004', '18112', '20040921', '20040904', '', 'Pegawai', 'Klinik Yunda', '811199', 33000, 33000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18113, '62920017', '2004', '18113', '20040921', '20040914', '', 'Pegawai', 'dr Agung', '811199', 360000, 360000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18114, '65920033', '2004', '18114', '20040921', '20040914', '', 'Anak III', 'dr Azwir', '811199', 175800, 175800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18115, '73960391', '2004', '18115', '20040921', '20040907', 'Reynard', 'Anak I', 'RS Hermina', '811199', 322570, 322570, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18116, '64010984', '2004', '18116', '20040921', '20040918', '', 'Anak I', 'dr Budi', '811199', 207000, 207000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18117, '72980515', '2004', '18117', '20040921', '20040822', '', 'Isteri', 'RS St Carolus', '811199', 117000, 117000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18118, '67920065', '2004', '18118', '20040921', '20040917', '', 'Pegawai', 'Klinik Medika', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18119, '77021068', '2004', '18119', '20040921', '20040910', '', 'Pegawai', 'drg Shirley', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18120, '74950226', '2004', '18120', '20040921', '20040918', 'Dewi Firchati', 'Isteri', 'drg M Jenny', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18121, '74970450', '2004', '18121', '20040927', '20040924', '', 'Pegawai', 'RSIA Hermina', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18122, '72000772', '2004', '18122', '20040927', '20040925', '', 'Isteri', 'RS Harapan Bunda', '811199', 230000, 230000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18123, '70980570', '2004', '18123', '20040927', '20040915', 'Eer', 'Isteri', 'RS Haji Jakarta', '811199', 163200, 163200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18124, '72000794', '2004', '18124', '20040927', '20040911', '', 'Anak I', 'dr Abu Purwanto', '811199', 83800, 83800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18125, '72000794', '2004', '18125', '20040927', '20040921', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 398215, 398215, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18126, '69960396', '2004', '18126', '20040927', '20040921', '', 'Anak I', 'RS Puri Medika', '811199', 97000, 97000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18127, '74990649', '2004', '18127', '20040927', '20040921', '', 'Pegawai', 'dr Bambang', '811199', 75900, 75900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18128, '77011016', '2004', '18128', '20040927', '20040924', '', 'Pegawai', 'dr Riris', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18129, '79031739', '2004', '18129', '20040927', '20040824', '', 'Pegawai', 'dr I Made', '811199', 269800, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18130, '59021080', '2004', '18130', '20040927', '20040922', '', 'Isteri', 'Aptk Tumbuh Sehat', '811199', 93400, 93400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18131, '66950220', '2004', '18131', '20040927', '20040910', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18132, '70950214', '2004', '18132', '20040927', '20040919', '', 'Pegawai', 'Aptk Raya', '811199', 61400, 61400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18133, '00030010', '2004', '18133', '20040927', '20040921', '', 'Pegawai', 'RS Islam', '811199', 1242200, 1242200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18134, '59920104', '2004', '18134', '20040927', '20040921', 'Diah Komalasari', 'Isteri', 'RS THT Proklamasi', '811199', 524300, 524300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18135, '64970465', '2004', '18135', '20040927', '20040918', '', 'Pegawai', 'drg Ganesha', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18136, '69000669', '2004', '18136', '20040927', '20040923', '', 'Anak I', 'RS Tria Dipa', '811199', 137400, 137400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18137, '17501895', '2004', '18137', '20040927', '20040906', '', 'Anak I', 'dr Baralangi', '811199', 202400, 202400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18138, '60930116', '2004', '18138', '20040927', '20040915', '', '', 'Dr I Boediman', '811199', 74700, 74700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18139, '76970457', '2004', '18139', '20040927', '20040922', 'Dimas P.', 'Anak I', 'dr Silitong', '811199', 306800, 306800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18140, '76030008', '2004', '18140', '20040927', '20040921', '', 'Anak I', 'dr Soerachmo', '811199', 41000, 41000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18141, '78031489', '2004', '18141', '20040927', '20040923', '', 'Pegawai', 'drg Ratna', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18142, '65930147', '2004', '18142', '20040927', '20040921', '', 'Anak I', 'RS Harum', '811199', 459600, 459600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18143, '65930147', '2004', '18143', '20040927', '20040923', '', 'Pegawai', 'RS Harum', '811199', 540000, 540000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18144, '65920033', '2004', '18144', '20040927', '20040923', 'Sambas Adhiyasa', 'Anak I', 'dr Azwir T', '811199', 203300, 203300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18145, '71000750', '2004', '18145', '20040927', '20040919', '', 'Pegawai', 'Klinik Graha', '811199', 46000, 46000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18146, '63950202', '2004', '18146', '20040927', '20040922', 'Habapusilah', 'Isteri', 'dr Erni', '811199', 666000, 666000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18147, '68000752', '2004', '18147', '20040927', '20040921', '', 'Anak II', 'dr Kusnadi', '811199', 178000, 178000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18148, '74011037', '2004', '18148', '20040927', '20040917', '', 'Isteri', 'dr Subur', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18149, '17702001', '2004', '18149', '20040927', '20040923', '', 'Pegawai', 'JMC', '811199', 122700, 122700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18150, '73021088', '2004', '18150', '20040927', '20040922', '', 'Anak II', 'dr Ully', '811199', 358100, 353800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18151, '72950364', '2004', '18151', '20040927', '20040923', '', 'Pegawai', 'RS Tria Dipa', '811199', 256000, 256000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18152, '75000720', '2004', '18152', '20040927', '20040916', '', 'Pegawai', 'dr Karno', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18153, '17700818', '2004', '18153', '20040927', '20040924', '', 'Pegawai', 'dr Dian', '811199', 223600, 223600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18154, '67950193', '2004', '18154', '20040927', '20040908', '', 'Pegawai', 'JEC', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18155, '78021416', '2004', '18155', '20040927', '20040924', '', 'Pegawai', 'dr Mala', '811199', 24100, 24100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18156, '57910014', '2004', '18156', '20040927', '20040925', 'Al Amin Syamshe Fajar', 'Anak III', 'dr Yacob', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18157, '77000672', '2004', '18157', '20040927', '20040925', '', 'Pegawai', 'RSIA Annisa', '811199', 164900, 164900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18158, '71042262', '2004', '18158', '20040927', '20040914', '', 'Isteri', 'RS Lamongan', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18159, '75020004', '2004', '18159', '20040927', '20040911', '', 'Isteri', 'drg Budi Siswanto', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18160, '64950219', '2004', '18160', '20040927', '20040923', '', 'Pegawai', 'drg Dani amelia', '811199', 430000, 430000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18161, '66920026', '2004', '18161', '20040927', '20040907', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 180882, 180882, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18162, '74021101', '2004', '18162', '20040927', '20040921', '', 'Isteri', 'RS Bunda', '811199', 408600, 408600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18163, '27400906', '2004', '18163', '20040927', '20040914', '', 'Anak I', 'dr H Zainal', '811199', 147000, 147000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18164, '70970487', '2004', '18164', '20040927', '20040921', '', 'Pegawai', 'dr Ucok', '811199', 189900, 189900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18165, '66920064', '2004', '18165', '20040927', '20040918', 'M. Eryan', 'Anak I', 'RAditya Medical', '811199', 198500, 198500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18166, '60960384', '2004', '18166', '20040927', '20040921', 'Wayan Martini', 'Isteri', 'RS Hermina', '811199', 420250, 420250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18167, '68960412', '2004', '18167', '20040927', '20040920', '', 'Pegawai', 'Klinik Tiara', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18168, '61930122', '2004', '18168', '20040927', '20040915', '', 'Pegawai', 'RS Medika', '811199', 239500, 239500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18169, '65010987', '2004', '18169', '20040927', '20040922', '', 'Anak I', 'Aptk Legenda', '811199', 389000, 389000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18170, '68920057', '2004', '18170', '20040927', '20040922', '', 'Pegawai', 'Klinik Kezia', '811199', 49000, 49000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18171, '79042172', '2004', '18171', '20041004', '20040928', '', 'Pegawai', 'RS Tebet', '811199', 166150, 166150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18172, '70950370', '2004', '18172', '20041004', '20040930', '', 'Anak I', 'dr Swatriani S', '811199', 314500, 314500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18173, '69000669', '2004', '18173', '20041004', '20040925', '', 'Anak I', 'Yay Griya Husada', '811199', 233000, 233000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18174, '70940155', '2004', '18174', '20041004', '20040930', 'Astri FW.', 'Anak I', 'RS Hermina', '811199', 179800, 179800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18175, '65960416', '2004', '18175', '20041004', '20040918', '', 'Anak I', 'Klinik Medika', '811199', 38000, 38000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18176, '71000727', '2004', '18176', '20041004', '20040930', '', 'Pegawai', 'Aptk Simpang', '811199', 246000, 246000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18177, '17700818', '2004', '18177', '20041004', '20040930', '', 'Pegawai', 'dr David Agus', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18178, '68950371', '2004', '18178', '20041004', '20040927', 'Amarthya', 'Anak I', 'RSIA Permata', '811199', 199300, 199300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18179, '65920018', '2004', '18179', '20041004', '20041002', 'Irvansyah Firdaus', 'Anak II', 'dr Himawan', '811199', 169300, 169300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18180, '52030005', '2004', '18180', '20041004', '20040930', '', 'Isteri', 'dr Indrawati', '811199', 214666, 214666, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18181, '57910014', '2004', '18181', '20041004', '20040930', 'Al Amin Syamshe Fajar', 'Anak III', 'dr Yacob', '811199', 72000, 72000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18182, '74990664', '2004', '18182', '20041004', '20040930', '', 'Pegawai', 'drg Arief', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18183, '75990602', '2004', '18183', '20041004', '20040929', '', 'Pegawai', 'drg Maulana', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18184, '71950367', '2004', '18184', '20041004', '20040907', '', 'Anak II', 'RS Cikini', '811199', 102300, 102300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18185, '49960404', '2004', '18185', '20041004', '20040929', 'Yasser', 'Anak II', 'RS Int,l Bintaro', '811199', 835831, 835831, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18186, '66990584', '2004', '18186', '20041004', '20041001', 'Andi Ernawati SE', 'Isteri', 'RS Hermina', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18187, '76970457', '2004', '18187', '20041004', '20041002', 'Dimas P.', 'Anak I', 'Klinik Medissina', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18188, '59950195', '2004', '18188', '20041004', '20040828', 'Lisbet Morliner', 'Isteri', 'dr Gunawan', '811199', 809000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18189, '74000719', '2004', '18189', '20041004', '20040928', '', 'Pegawai', 'Klinik Limus', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18190, '70940155', '2004', '18190', '20041004', '20041001', '', 'Pegawai', 'Galaxi Clinic', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18191, '70000791', '2004', '18191', '20041004', '20040929', 'M. Khalif F.', 'Anak I', 'RS Hermina', '811199', 277409, 277409, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18192, '65950169', '2004', '18192', '20041004', '20040927', '', 'Anak I', 'RS Puri Cinere', '811199', 1262150, 794000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18193, '67940157', '2004', '18193', '20041004', '20040929', '', 'Anak I', 'RS Ciranjang', '811199', 999200, 999200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18194, '17700818', '2004', '18194', '20041004', '20040929', '', 'Pegawai', 'dr Dian', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18195, '67950193', '2004', '18195', '20041004', '20040928', '', 'Pegawai', 'drg Dian', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18196, '63970476', '2004', '18196', '20041004', '20040916', '', 'Pegawai', 'drg Abdoellah', '811199', 457000, 457000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18197, '69960401', '2004', '18197', '20041004', '20040929', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul M', '811199', 143500, 143500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18198, '74990664', '2004', '18198', '20041004', '20040923', '', 'Pegawai', 'Darma Bakti', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18199, '63970464', '2004', '18199', '20041004', '20040924', '', 'Pegawai', 'dr Kamsir', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18200, '72950205', '2004', '18200', '20041004', '20040928', 'Rizqullah Ishaq', 'Anak I', 'RSIA Tumbuh Kembang', '811199', 79700, 79700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18201, '65980552', '2004', '18201', '20041004', '20040925', '', 'Pegawai', 'dr Soekarno', '811199', 404300, 404300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18202, '60920041', '2004', '18202', '20041004', '20040928', '', 'Pegawai', 'JEC', '811199', 286500, 286500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18203, '67990636', '2004', '18203', '20041004', '20040901', 'Ria Maria', 'Isteri', 'RS Mitra', '811199', 243300, 85100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18204, '77042155', '2004', '18204', '20041004', '20040927', '', 'Pegawai', 'dr Hediati', '811199', 242100, 242100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18205, '66000734', '2004', '18205', '20041004', '20040928', 'Handayani', 'Isteri', 'Klinik Cittra', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18206, '71940159', '2004', '18206', '20041004', '20040927', '', 'Pegawai', 'RSPI', '811199', 641041, 545443, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18207, '65950196', '2004', '18207', '20041004', '20040927', '', 'Pegawai', 'RS MMC', '811199', 896900, 896900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18208, '77021068', '2004', '18208', '20041004', '20041002', '', 'Pegawai', 'drg Shirley', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18209, '75020004', '2004', '18209', '20041004', '20040930', '', 'Isteri', 'RS Panti Citarum', '811199', 109150, 109150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18210, '16801865', '2004', '18210', '20041004', '20040923', 'Sulami A.', 'Isteri', 'dr Adrul Muslim', '811199', 137690, 137690, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18211, '64970465', '2004', '18211', '20041004', '20040925', '', 'Pegawai', 'drg Ganesha', '811199', 230000, 230000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18212, '69950222', '2004', '18212', '20041004', '20040924', '', 'Anak I', 'drg Suryaputra', '811199', 770000, 770000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18213, '77021068', '2004', '18213', '20041004', '20040924', '', 'Pegawai', 'drg Shirley', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18214, '71031758', '2004', '18214', '20041004', '20040923', '', 'Pegawai', 'RSCM', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18215, '70010898', '2004', '18215', '20041004', '20040912', '', 'Isteri', 'dr Meri', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18216, '58021106', '2004', '18216', '20041004', '20040924', 'Dhannang', 'Anak I', 'dr Widjojo', '811199', 81000, 81000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18217, '76021048', '2004', '18217', '20041004', '20040923', '', 'Pegawai', 'RS Aini', '811199', 207300, 207300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18218, '78010962', '2004', '18218', '20041004', '20040925', '', 'Isteri', 'dr Dian', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18219, '73021143', '2004', '18219', '20041004', '20040918', '', 'Isteri', 'Aptk Inanta', '811199', 53700, 53700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18220, '71011018', '2004', '18220', '20041004', '20040925', '', 'Pegawai', 'dr Willis', '811199', 91500, 91500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18221, '73021088', '2004', '18221', '20041004', '20040925', '', 'Anak II', 'dr Ully', '811199', 96800, 96800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18222, '72099654', '2004', '18222', '20041004', '20040927', '', 'Anak I', 'Aptk Aji Waras', '811199', 96000, 96000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18223, '71960437', '2004', '18223', '20041004', '20040927', 'Nadya Agustina', 'Anak I', 'RS Bunda Auni', '811199', 98500, 98500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18224, '57990576', '2004', '18224', '20041004', '20040906', '', 'Pegawai', 'RS Mitra', '811199', 735936, 735936, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18225, '64930110', '2004', '18225', '20041004', '20040923', '', 'Isteri', 'RSPI', '811199', 279708, 279708, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18226, '69950162', '2004', '18226', '20041004', '20040925', 'Muhammad Nadhif Judhananto', 'Anak I', 'dr Staa', '811199', 213330, 213330, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18227, '68960412', '2004', '18227', '20041004', '20040923', 'Michelle Shan C.', 'Anak I', 'Klinik Satiti', '811199', 117500, 117500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18228, '79031439', '2004', '18228', '20041004', '20040927', '', 'Pegawai', 'drg Koesmanto', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18229, '67042241', '2004', '18229', '20041004', '20040927', '', 'Anak I', 'dr Wiyoso', '811199', 161000, 161000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18230, '77021429', '2004', '18230', '20041004', '20040928', '', 'Pegawai', 'RS Bunda', '811199', 177000, 177000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18231, '66990584', '2004', '18231', '20041004', '20040924', 'Andi Firyal', 'Anak II', 'RS Hermina', '811199', 429600, 429600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18232, '60970479', '2004', '18232', '20041004', '20040925', '', 'Pegawai', 'drg Hendrik Irawan', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18233, '70000791', '2004', '18233', '20041004', '20040925', 'M. Khalif F.', 'Anak I', 'RB Harapan Bunda', '811199', 197500, 197500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18234, '66920026', '2004', '18234', '20041004', '20040923', 'Ngakan Made Prakasa Judha', 'Anak II', 'RS Int,l Bintaro', '811199', 38862, 38862, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18235, '76030008', '2004', '18235', '20041004', '20040914', '', 'Isteri', 'Bidan Siti Aminah', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18236, '57910014', '2004', '18236', '20041004', '20040928', 'Arief Rahman', 'Anak II', 'dr Yacob', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18237, '70950214', '2004', '18237', '20041004', '20040930', '', 'Pegawai', 'Klinik Ladokgi', '811199', 366000, 366000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18238, '69960382', '2004', '18238', '20041004', '20040921', 'Dessy Triastuti', 'Isteri', 'RS Pertamina', '811199', 369372, 369372, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18239, '79031439', '2004', '18239', '20041004', '20040907', '', 'Pegawai', 'Klinik Pramita', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18240, '73960391', '2004', '18240', '20041004', '20040929', 'Reynard', 'Anak I', 'RS Hermina', '811199', 333500, 333500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18241, '68960412', '2004', '18241', '20041004', '20040929', 'Michelle Shan C.', 'Anak I', 'dr Liliyani', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18242, '74970450', '2004', '18242', '20041004', '20041002', '', 'Pegawai', 'dr Ridwan Harrianto', '811199', 106500, 106500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18243, '69980544', '2004', '18243', '20041008', '20041002', 'Ramadhani Malik Abdillah', 'Anak I', 'RS Hermina', '811199', 258035, 40970, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18244, '70010882', '2004', '18244', '20041008', '20041002', '', 'Isteri', 'drg Mediato', '811199', 204700, 204700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18245, '66950355', '2004', '18245', '20041008', '20041004', '', 'Isteri', 'Sam Marie', '811199', 2037000, 447000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18246, '57930113', '2004', '18246', '20041008', '20040727', 'Dewi Marlini', 'Isteri', 'dr Waluyo', '811199', 1927000, 1087000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18247, '71990599', '2004', '18247', '20041008', '20041005', '', 'Pegawai', 'dr Leo Gustono', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18248, '70950204', '2004', '18248', '20041008', '20041004', 'Rustini', 'Isteri', 'dr Wina', '811199', 76000, 76000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18249, '74950356', '2004', '18249', '20041008', '20041006', '', 'Pegawai', 'Klinik Sentosa', '811199', 257200, 257200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18250, '69032076', '2004', '18250', '20041008', '20040917', '', 'Pegawai', 'Aptk Karunia', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18251, '72000707', '2004', '18251', '20041008', '20041002', '', 'Anak I', 'dr Endang', '811199', 219700, 219700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18252, '68000709', '2004', '18252', '20041008', '20041006', '', 'Anak I', 'RS Hermina', '811199', 355600, 300975, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18253, '73099601', '2004', '18253', '20041008', '20041006', '', 'Pegawai', 'Klinik Limus', '811199', 81000, 81000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18254, '63920047', '2004', '18254', '20041008', '20040914', '', 'Isteri', 'Yosa Medika', '811199', 209500, 209500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18255, '69021047', '2004', '18255', '20041008', '20041005', '', 'Anak I', 'dr Hartati', '811199', 188600, 188600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18256, '75990602', '2004', '18256', '20041008', '20041006', '', 'Pegawai', 'dr Yenni', '811199', 114825, 114825, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18257, '78021087', '2004', '18257', '20041008', '20041001', '', 'Pegawai', 'dr M Hussein', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18258, '68920057', '2004', '18258', '20041008', '20041005', '', 'Anak I', 'RS Puri Cinere', '811199', 311500, 311500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18259, '66000735', '2004', '18259', '20041008', '20040930', 'Wizhayati', 'Isteri', 'dr Fahrudin', '811199', 524000, 524000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18260, '58021106', '2004', '18260', '20041008', '20040928', 'Ica', 'Anak II', 'dr Barokah', '811199', 38000, 38000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18261, '75020001', '2004', '18261', '20041008', '20040929', '', 'Pegawai', 'RS Cikini', '811199', 562000, 562000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18262, '69960396', '2004', '18262', '20041008', '20040930', '', 'Anak I', 'RS Puri Medika', '811199', 117000, 117000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18263, '17702001', '2004', '18263', '20041008', '20041001', '', 'Pegawai', 'Aptk Safari', '811199', 70400, 70400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18264, '72950364', '2004', '18264', '20041008', '20041004', '', 'Pegawai', 'RS Tria Dipa', '811199', 261500, 261500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18265, '60960384', '2004', '18265', '20041008', '20041001', 'Wayan Martini', 'Isteri', 'RS Hermina', '811199', 130250, 130250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18266, '61920045', '2004', '18266', '20041008', '20040930', 'Sutirma J.Rosalina', 'Isteri', 'RS Tugu Ibu', '811199', 529000, 529000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18267, '70031507', '2004', '18267', '20041008', '20041004', '', 'Pegawai', 'Aptk Restu Ibu', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18268, '71042200', '2004', '18268', '20041008', '20040930', '', 'Isteri', 'RS Puri Cinere', '811199', 300500, 300500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18269, '65920033', '2004', '18269', '20041008', '20041004', '', 'Anak III', 'dr Azwir T', '811199', 238400, 238400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18270, '74950226', '2004', '18270', '20041008', '20041006', 'Dewi Firchati', 'Isteri', 'drg M Jenny', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18271, '67920049', '2004', '18271', '20041008', '20040911', '', 'Pegawai', 'RS Islam Jakarta', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18272, '78021046', '2004', '18272', '20041008', '20040927', '', 'Pegawai', 'Poliklinik Mekar', '811199', 44000, 44000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18273, '72000772', '2004', '18273', '20041008', '20040918', '', 'Isteri', 'RS Harapan Bunda', '811199', 108700, 108700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18274, '65980564', '2004', '18274', '20041008', '20040929', 'Sekar P. L', 'Anak III', 'RS Hermina', '811199', 436500, 436500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18275, '74011037', '2004', '18275', '20041008', '20041001', '', 'Isteri', 'dr Subur', '811199', 147700, 147700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18276, '79031739', '2004', '18276', '20041008', '20041001', '', 'Pegawai', 'dr I Made', '811199', 269800, 269800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18277, '58000840', '2004', '18277', '20041008', '20041004', '', 'Pegawai', 'dr Angelita Santoso', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18278, '60970471', '2004', '18278', '20041008', '20041005', '', 'Pegawai', 'RS Pertamina', '811199', 517315, 517315, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18279, '65950169', '2004', '18279', '20041008', '20041004', '', 'Pegawai', 'dr Moeslichan', '811199', 304000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18280, '64950171', '2004', '18280', '20041008', '20041002', '', 'Pegawai', 'RS Siaga', '811199', 632850, 632850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18281, '65950169', '2004', '18281', '20041008', '20041007', '', 'Anak I', 'dr Moeslichan', '811199', 306350, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18282, '60920075', '2004', '18282', '20041008', '20041007', '', 'Pegawai', 'RS Medistra', '811199', 1648700, 1358400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18283, '65960399', '2004', '18283', '20041008', '20041007', '', 'Anak I', 'RS Hermina', '811199', 619222, 619222, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18284, '63950190', '2004', '18284', '20041012', '20040927', 'Grace Agustina', 'Isteri', 'dr Eva Y', '811199', 488000, 218000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18285, '65930143', '2004', '18285', '20041012', '20041007', '', 'Pegawai', 'RS Medistra', '811199', 76000, 76000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18286, '72031488', '2004', '18286', '20041012', '20041005', '', 'Pegawai', 'dr Bambang', '811199', 343140, 343140, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18287, '72000696', '2004', '18287', '20041012', '20041002', '', 'Anak I', 'RSIA Hermina', '811199', 168000, 168000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18288, '5540008', '2004', '18288', '20041012', '20041004', '', 'Pegawai', 'RSPI', '811199', 1005200, 1005200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18289, '72950363', '2004', '18289', '20041012', '20040927', '', 'Anak I', 'dr Retno', '811199', 255000, 255000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18290, '74970450', '2004', '18290', '20041012', '20041002', '', 'Pegawai', 'dr Ridwan Harrianto', '811199', 80000, 77575, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18291, '62910013', '2004', '18291', '20041012', '20041009', 'Nur Hasanah', 'Isteri', 'RS Tumbuh Kembang', '811199', 161800, 161800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18292, '68950371', '2004', '18292', '20041012', '20041009', '', 'Anak II', 'dr Alan', '811199', 139000, 139000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18293, '70010898', '2004', '18293', '20041012', '20041008', '', 'Isteri', 'dr Yusmar', '811199', 78000, 78000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18294, '72000772', '2004', '18294', '20041012', '20041011', '', 'Isteri', 'RS Harapan Bunda', '811199', 434300, 434300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18295, '73042189', '2004', '18295', '20041012', '20041009', '', 'Isteri', 'dr Lilien', '811199', 255100, 255100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18296, '65980552', '2004', '18296', '20041012', '20041011', 'Frida Andriani', 'Isteri', 'RB PutraKinasih', '811199', 871300, 871300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18297, '58000807', '2004', '18297', '20041012', '20040924', '', 'Anak III', 'dr Rivai Usmar', '811199', 189000, 189000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18298, '67950193', '2004', '18298', '20041012', '20041006', 'Mohammad Hafiz Lintang Nugroho', 'Anak II', 'drg Dian', '811199', 410700, 410700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18299, '77042190', '2004', '18299', '20041012', '20041009', '', 'Pegawai', 'drg Chris', '811199', 253000, 253000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18300, '69950162', '2004', '18300', '20041012', '20041010', 'Muhammad Nadhif Judhananto', 'Anak I', 'dr Maria', '811199', 335200, 335200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18301, '59021080', '2004', '18301', '20041012', '20041004', '', 'Anak I', 'Aptk Trinitas', '811199', 135400, 135400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18302, '58950188', '2004', '18302', '20041012', '20041003', 'Komerahyatun', 'Isteri', 'Aptk Kimia Farma', '811199', 112800, 112800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18303, '63920047', '2004', '18303', '20041012', '20041004', '', 'Isteri', 'Yosa Medika', '811199', 227000, 227000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18304, '72000696', '2004', '18304', '20041012', '20041009', '', 'Anak I', 'Apotik Rini', '811199', 97600, 97600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18305, '16801865', '2004', '18305', '20041012', '20041006', 'Sulami A.', 'Isteri', 'dr Adrul Muslim', '811199', 113925, 113925, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18306, '66950220', '2004', '18306', '20041012', '20041006', 'Andhika Priyambodu', 'Anak III', 'Bp As-Syifa', '811199', 92000, 92000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18307, '75010905', '2004', '18307', '20041012', '20041008', '', 'Pegawai', 'drg Koesmanto', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18308, '69960401', '2004', '18308', '20041012', '20041006', 'Naufal Rizqulloh', 'Anak II', 'dr Julia', '811199', 112000, 112000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18309, '68920053', '2004', '18309', '20041012', '20041005', 'Syahida Nurrahmah', 'Anak II', 'RS Hermina', '811199', 191500, 191500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18310, '70960393', '2004', '18310', '20041012', '20041004', '', 'Pegawai', 'Singapore General Hospital', '811199', 0, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18311, '65920033', '2004', '18311', '20041012', '20041008', 'Eti Karyati', 'Isteri', 'dr Erni', '811199', 87600, 87600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18312, '17301957', '2004', '18312', '20041012', '20041002', '', 'Anak I', 'RS Hermina', '811199', 358655, 358655, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18313, '63970478', '2004', '18313', '20041012', '20041011', '', 'Pegawai', 'dr Bernhard', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18314, '64970465', '2004', '18314', '20041012', '20041009', '', 'Pegawai', 'drg Ganesha', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18315, '60970471', '2004', '18315', '20041012', '20041011', '', 'Pegawai', 'RS Pertamina', '811199', 600497, 600497, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18316, '49960404', '2004', '18316', '20041012', '20041011', 'Yasser', 'Anak II', 'dr Hilal', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18317, '63950202', '2004', '18317', '20041012', '20041009', 'Habapusilah', 'Isteri', 'dr Hardhi', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18318, '72000794', '2004', '18318', '20041012', '20041006', '', 'Anak I', 'dr Evita', '811199', 174933, 174933, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18319, '72000794', '2004', '18319', '20041012', '20041009', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 337000, 337000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18320, '72000794', '2004', '18320', NULL, '20041012', '', '10/01/04', 'RS Int.l Bintaro', '811199', 508365, 508365, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18321, '74021101', '2004', '18321', '20041012', '20040928', '', 'Isteri', 'RS Abdi Waluyo', '811199', 111300, 111300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18322, '71000727', '2004', '18322', '20041012', '20040926', '', 'Pegawai', 'RS Simpang', '811199', 25000, 25000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18323, '69960396', '2004', '18323', '20041012', '20041007', '', 'Anak I', 'RS Puri Medika', '811199', 73000, 73000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18324, '71011018', '2004', '18324', '20041012', '20041006', '', 'Anak I', 'drg Rieke', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18325, '77011035', '2004', '18325', '20041012', '20041001', '', 'Pegawai', 'drg Dian', '811199', 285000, 285000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18326, '77011035', '2004', '18326', '20041012', '20041006', '', 'Pegawai', 'drg Dian', '811199', 305000, 305000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18327, '74980518', '2004', '18327', '20041014', '20041011', '', 'Pegawai', 'dr Koesmanto S', '811199', 425000, 425000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18328, '76980517', '2004', '18328', '20041014', '20041011', '', 'Isteri', 'RS Puri Cinere', '811199', 325100, 325100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18329, '67950168', '2004', '18329', '20041014', '20041011', '', 'Pegawai', 'drg Halim W.H', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18330, '51030006', '2004', '18330', '20041014', '20041011', '', 'Pegawai', 'dr Indrajana', '811199', 941800, 941800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18331, '16801896', '2004', '18331', '20041014', '20041009', '', 'Anak I', 'RS Pluit', '811199', 554300, 554300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18332, '79010904', '2004', '18332', '20041014', '20041012', '', 'Pegawai', 'dr Retno', '811199', 597000, 597000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18333, '73021143', '2004', '18333', '20041014', '20041006', '', 'Isteri', 'Aptk Rawasari', '811199', 131000, 131000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18334, '61920069', '2004', '18334', '20041014', '20041008', 'Mochamad Bayu Seto', 'Anak I', 'Aptk Sarika', '811199', 373800, 373800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18335, '68000760', '2004', '18335', '20041014', '20041008', '', 'Pegawai', 'dr Retno', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18336, '65960399', '2004', '18336', '20041014', '20041011', '', 'Anak I', 'RS Hermina', '811199', 141975, 141975, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18337, '65930147', '2004', '18337', '20041014', '20041008', '', 'Anak II', 'RS Harum', '811199', 382000, 382000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18338, '66990584', '2004', '18338', '20041014', '20041011', '', 'Pegawai', 'RS Azra', '811199', 211800, 211800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18339, '76970457', '2004', '18339', '20041014', '20041011', 'Dimas P.', 'Anak I', 'dr Kurniawan', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18340, '70940155', '2004', '18340', '20041014', '20041011', 'Astri FW.', 'Anak I', 'Galaxi Clinic', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18341, '79042170', '2004', '18341', '20041014', '20041013', '', 'Pegawai', 'dr Rudy Andreas', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18342, '79042172', '2004', '18342', '20041014', '20041013', '', 'Isteri', 'RS Hermina', '811199', 301000, 301000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18343, '77011035', '2004', '18343', '20041014', '20041004', '', 'Pegawai', 'dr Karmini', '811199', 58500, 58500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18344, '76021048', '2004', '18344', '20041014', '20041012', '', 'Pegawai', 'dr Yuditha', '811199', 248500, 248500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18345, '72099654', '2004', '18345', '20041014', '20041006', '', 'Anak I', 'Aptk Aji Waras', '811199', 142000, 142000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18346, '74000792', '2004', '18346', '20041014', '20041011', '', 'Pegawai', 'dr Budi Hastati', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18347, '75021078', '2004', '18347', '20041014', '20041006', 'Yulia N.', 'Isteri', 'BKR MKGR', '811199', 313200, 313200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18348, '51040007', '2004', '18348', '20041014', '20041005', '', 'Isteri', 'RSPI', '811199', 1175646, 1175646, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18349, '5203005', '2004', '18349', '20041014', '20041013', '', 'Isteri', 'Century Health', '811199', 887450, 887450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18350, '71960437', '2004', '18350', '20041019', '20041016', 'M. Farhan', 'Anak II', 'dr Suharyono', '811199', 251500, 251500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18351, '74980518', '2004', '18351', '20041019', '20041018', '', 'Pegawai', 'dr Koesmanto S', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18352, '75010905', '2004', '18352', '20041019', '20041015', '', 'Pegawai', 'dr Valentin', '811199', 109000, 109000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18353, '79021076', '2004', '18353', '20041019', '20041013', '', 'Pegawai', 'RS Medistra', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18354, '66042232', '2004', '18354', '20041019', '20041012', '', 'Pegawai', 'Klinik Medika', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18355, '51030006', '2004', '18355', '20041019', '20041013', '', 'Isteri', 'JEC', '811199', 780500, 780500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18356, '66920064', '2004', '18356', '20041019', '20041013', 'M. Eryan', 'Anak I', 'Raditya Medika', '811199', 143000, 143000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18357, '75000720', '2004', '18357', '20041019', '20041012', '', 'Pegawai', 'dr Karno', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18358, '67920054', '2004', '18358', '20041019', '20040920', 'Tamam Ibrahim Satrio', 'Anak I', 'Klinik Prodia', '811199', 169000, 169000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18359, '17700818', '2004', '18359', '20041019', '20041012', '', 'Pegawai', 'drg Dian Haerani', '811199', 259500, 259500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18360, '78021416', '2004', '18360', '20041019', '20041014', '', 'Pegawai', 'dr Tiur', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18361, '62920017', '2004', '18361', '20041019', '20041012', '', 'Anak I', 'dr Yuardi', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18362, '69950222', '2004', '18362', '20041019', '20041013', '', 'Pegawai', 'dr Afriyanti', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18363, '70990586', '2004', '18363', '20041019', '20040918', '', 'Pegawai', 'dr Neni', '811199', 241500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18364, '60950189', '2004', '18364', '20041019', '20041011', 'Riska Oktaviana', 'Anak III', 'drg Andriyani', '811199', 1120000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18365, '78031463', '2004', '18365', '20041019', '20041016', '', 'Pegawai', 'dr Yuni', '811199', 176000, 176000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18366, '17501981', '2004', '18366', '20041019', '20041016', '', 'Isteri', 'RS Dharma Nugraha', '811199', 296500, 296500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18367, '17101947', '2004', '18367', '20041019', '20041017', '', 'Anak I', 'RSB Duren Tiga', '811199', 215700, 215700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18368, '66970473', '2004', '18368', '20041019', '20041016', '', 'Pegawai', 'Yay Bina Sehat', '811199', 121500, 121500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18369, '16801896', '2004', '18369', '20041019', '20041016', '', 'Anak I', 'RS Pluit', '811199', 553605, 553605, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18370, '17501895', '2004', '18370', '20041019', '20041012', '', 'Pegawai', 'RS Medika Sampurna', '811199', 304800, 304800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18371, '61970468', '2004', '18371', '20041019', '20041015', '', 'Pegawai', 'Aptk Titi Murni', '811199', 171500, 171500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18372, '65920033', '2004', '18372', '20041019', '20041016', '', 'Anak III', 'dr Azwir Z', '811199', 191400, 191400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18373, '70980570', '2004', '18373', '20041019', '20040927', 'Nabil', 'Anak I', 'RS Haji Jakarta', '811199', 401400, 401400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18374, '75020001', '2004', '18374', '20041019', '20041005', '', 'Pegawai', 'RS Cikini', '811199', 118600, 118600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18375, '72950223', '2004', '18375', '20041019', '20041011', '', 'Anak I', 'dr Ratih', '811199', 42000, 42000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18376, '68000752', '2004', '18376', '20041019', '20041014', '', 'Anak II', 'Aptk Aji Waras', '811199', 167500, 167500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18377, '67960411', '2004', '18377', '20041019', '20041014', 'Achmad Rizki Noversi', 'Anak I', 'RB Citra Ananda', '811199', 313000, 313000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18378, '66000735', '2004', '18378', '20041019', '20041011', 'Wizhayati', 'Isteri', 'dr Fahrudin', '811199', 73100, 73100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18379, '70950370', '2004', '18379', '20041019', '20041016', '', 'Pegawai', 'dr M Badar', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18380, '74950356', '2004', '18380', '20041019', '20041013', 'Thifal N.', 'Anak II', 'dr Komalarini', '811199', 172700, 172700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18381, '00030010', '2004', '18381', '20041019', '20041016', '', 'Pegawai', 'RS Hermina', '811199', 2112394, 1878394, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18382, '65000730', '2004', '18382', '20041019', '20041009', '', 'Pegawai', 'dr Hermawan', '811199', 208000, 208000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18383, '74011037', '2004', '18383', '20041019', '20041013', '', 'Isteri', 'RSAB Muslimat', '811199', 94600, 94600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18384, '65980552', '2004', '18384', '20041019', '20041007', 'Fahrizal Imam R', 'Anak III', 'dr Budi', '811199', 56500, 56500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18385, '72000772', '2004', '18385', '20041019', '20041016', '', 'Isteri', 'RS Harapan Bunda', '811199', 139200, 139200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18386, '66990584', '2004', '18386', '20041019', '20041015', 'Andi Ernawati SE', 'Isteri', 'RS Hermina', '811199', 87500, 87500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18387, '59021080', '2004', '18387', '20041019', '20041013', '', 'Anak I', 'Aptk Tumbuh Sehat', '811199', 57400, 57400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18388, '63970464', '2004', '18388', '20041019', '20040927', '', 'Pegawai', 'dr Kamsir', '811199', 179000, 179000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18389, '5540008', '2004', '18389', '20041019', '20041015', '', 'Anak III', 'dr H Hindra', '811199', 191000, 191000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18390, '57920024', '2004', '18390', '20041019', '20041013', '', 'Anak I', 'JEC', '811199', 102000, 102000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18391, '73042189', '2004', '18391', '20041021', '20041016', '', 'Isteri', 'dr Lilien', '811199', 161100, 161100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18392, '67950172', '2004', '18392', '20041021', '20040714', '', 'Pegawai', 'dr Susy', '811199', 637500, 362500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18393, '72021050', '2004', '18393', '20041021', '20040918', '', 'Isteri', 'RS Harapan Bunda', '811199', 170900, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18394, '17300901', '2004', '18394', '20041021', '20041002', '', 'Anak I', 'RS Hermina', '811199', 179495, 179495, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18395, '16800732', '2004', '18395', '20041021', '20041018', '', 'Pegawai', 'Poliklinik Adimas', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18396, '81031469', '2004', '18396', '20041021', '20041019', '', 'Pegawai', 'dr Erwin', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18397, '63970483', '2004', '18397', '20041021', '20041013', '', 'Anak I', 'dr Abdurahman', '811199', 353000, 353000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18398, '66920106', '2004', '18398', '20041021', '20040919', 'Fitriani', 'Isteri', 'BP Yadi', '811199', 230000, 230000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18399, '67950168', '2004', '18399', '20041021', '20041019', '', 'Pegawai', 'drg Halim W.H', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18400, '60970471', '2004', '18400', '20041021', '20041014', 'Sylvina Faiza', 'Isteri', 'RS Pertamina', '811199', 515000, 515000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18401, '62920017', '2004', '18401', '20041021', '20041020', 'Hadidjah Sansono', 'Isteri', 'dr Agung', '811199', 496000, 496000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18402, '57930113', '2004', '18402', '20041021', '20041011', 'Anggraini Rahayu Widyanti', 'Anak I', 'drg Hendyahti', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18403, '81042279', '2004', '18403', '20041021', '20041016', '', 'Pegawai', 'drg L Suhanda', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18404, '69000669', '2004', '18404', '20041021', '20041019', '', 'Anak I', 'RS Tria Dipa', '811199', 230700, 230700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18405, '67950213', '2004', '18405', '20041021', '20041017', 'Martadewi', 'Isteri', 'Klinik Al-Fiat', '811199', 34000, 34000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18406, '74950226', '2004', '18406', '20041021', '20041011', 'Sheza M. A.', 'Anak II', 'dr Tan Gek soan', '811199', 109000, 109000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18407, '77011035', '2004', '18407', '20041021', '20041014', '', 'Pegawai', 'Aptk Basmar', '811199', 255000, 255000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18408, '27400906', '2004', '18408', '20041021', '20041009', '', 'Anak I', 'dr H Zainal', '811199', 181000, 181000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18409, '66920067', '2004', '18409', '20041021', '20041012', 'Deny Waty Djaafar', 'Isteri', 'dr Frans Putuhena', '811199', 392500, 392500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18410, '71960437', '2004', '18410', '20041021', '20041019', 'M. Farhan', 'Anak II', 'dr Suharyono', '811199', 688000, 456540, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18411, '71990660', '2004', '18411', '20041026', '20041007', '', 'Anak I', 'RS Yadika', '811199', 135600, 135600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18412, '70970475', '2004', '18412', '20041026', '20041017', '', 'Isteri', 'RS Anna', '811199', 188100, 188100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18413, '67990636', '2004', '18413', '20041026', '20041011', 'Ria Maria', 'Isteri', 'drg Dewi', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18414, '71000727', '2004', '18414', '20041026', '20041015', '', 'Pegawai', 'RS Hermina', '811199', 136000, 136000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18415, '65980564', '2004', '18415', '20041026', '20041020', 'Sekar P. L', 'Anak III', 'RS Hermina', '811199', 384929, 384929, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18416, '69960396', '2004', '18416', '20041026', '20041019', '', 'Anak I', 'RS Puri Medika', '811199', 167000, 167000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18417, '49960404', '2004', '18417', '20041026', '20041021', 'Yasser', 'Anak II', 'dr Hilal', '811199', 260000, 260000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18418, '66000734', '2004', '18418', '20041026', '20041020', '', 'Pegawai', 'Klinik Zamroni', '811199', 122500, 122500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18419, '57910014', '2004', '18419', '20041026', '20041022', 'Al Amin Syamshe Fajar', 'Anak III', 'dr Retno', '811199', 217300, 217300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18420, '66000734', '2004', '18420', '20041026', '20041022', 'Handayani', 'Isteri', 'dr Asih Lubis', '811199', 288700, 288700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18421, '66990584', '2004', '18421', '20041026', '20041022', 'Andi Ernawati SE', 'Isteri', 'RS Hermina', '811199', 147575, 147575, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18422, '66920106', '2004', '18422', '20041026', '20041023', '', 'Pegawai', 'Yay As-Syifa', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18423, '16801896', '2004', '18423', '20041026', '20041001', '', 'Anak I', 'RS Pluit', '811199', 107000, 107000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18424, '62920017', '2004', '18424', '20041026', '20041023', '', 'Pegawai', 'dr Sukarto', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18425, '5540008', '2004', '18425', '20041026', '20041020', 'Adhika Paramarta Sajjana', 'Anak I', 'Klinik Tiara', '811199', 193000, 193000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18426, '63910010', '2004', '18426', '20041026', '20041022', 'Muhammad Nabil Abdullah Nasution', 'Anak I', 'RS Tumbuh Kembang', '811199', 214900, 214900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18427, '70940155', '2004', '18427', '20041026', '20041024', 'Astri FW.', 'Anak I', 'Aptk Ganesha', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18428, '66920026', '2004', '18428', '20041026', '20041022', 'Ngakan Made Prakasa Judha', 'Anak II', 'RS Int,l Bintaro', '811199', 248779, 248779, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18429, '65920033', '2004', '18429', '20041030', '20041023', '', 'Anak III', 'dr Azwir Z', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18430, '74021101', '2004', '18430', '20041026', '20041011', '', 'Isteri', 'RS Abdi Waluyo', '811199', 121500, 121500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18431, '71011018', '2004', '18431', '20041026', '20041022', '', 'Anak I', 'RS Hermina', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18432, '74021263', '2004', '18432', '20041026', '20041016', '', 'Anak I', 'Klinik Prima Medika', '811199', 589700, 589700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18433, '70950231', '2004', '18433', '20041026', '20041023', '', 'Pegawai', 'dr Reza', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18434, '63920052', '2004', '18434', '20041026', '20041015', 'Asti Rizkiana V', 'Isteri', 'RS Mitra', '811199', 182290, 133683, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18435, '73010870', '2004', '18435', '20041026', '20041004', '', 'Pegawai', 'RS Medistra', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18436, '65970472', '2004', '18436', '20041026', '20041024', '', 'Pegawai', 'dr Bambang', '811199', 93250, 93250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18437, '74950226', '2004', '18437', '20041026', '20041023', 'Syifa Ghallyah', 'Anak I', 'dr Tan Gek Soan', '811199', 152300, 152300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18438, '64970460', '2004', '18438', '20041026', '20041023', '', 'Pegawai', 'Rs Yadika', '811199', 143500, 143500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18439, '73042189', '2004', '18439', '20041026', '20041023', '', 'Isteri', 'dr Lilien', '811199', 196650, 196650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18440, '76031447', '2004', '18440', '20041026', '20041003', '', 'Pegawai', 'Klinik Ulujami', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18441, '77032118', '2004', '18441', '20041026', '20041023', '', 'Pegawai', 'dr Nanang', '811199', 116400, 116400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18442, '60032087', '2004', '18442', '20041026', '20041022', '', 'Anak I', 'dr Dahlan', '811199', 425600, 425600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18443, '60032087', '2004', '18443', '20041026', '20041014', '', 'Anak I', 'dr Afriyanti', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18444, '49960404', '2004', '18444', '20041026', '20041015', 'Yasser', 'Anak II', 'RS Int,l Bintaro', '811199', 543491, 543491, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18445, '77021429', '2004', '18445', '20041026', '20041025', '', 'Isteri', 'RS Medistra', '811199', 492700, 492700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18446, '68920057', '2004', '18446', '20041028', '20041020', '', 'Anak I', 'RS Puri Cinere', '811199', 196400, 196400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18447, '64010984', '2004', '18447', '20041026', '20040923', '', 'Anak I', 'dr Fajar', '811199', 1501200, 724700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18448, '64930110', '2004', '18448', '20041028', '20041005', '', 'Isteri', 'RSPI', '811199', 454598, 454598, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18449, '75000720', '2004', '18449', '20041028', '20041019', '', 'Pegawai', 'RS Prikasih', '811199', 74500, 74500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18450, '71970456', '2004', '18450', '20041028', '20041019', '', 'Pegawai', 'Aptk Century', '811199', 244200, 244200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18451, '71042476', '2004', '18451', '20041028', '20041022', '', 'Anak I', 'Klinik Syarif', '811199', 360900, 360900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18452, '79030001', '2004', '18452', '20041028', '20041007', '', 'Pegawai', 'dr Kartini', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18453, '72099654', '2004', '18453', '20041028', '20041023', '', 'Anak I', 'Aptk Aji Waras', '811199', 121700, 121700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18454, '67960411', '2004', '18454', '20041028', '20041023', 'Achmad Rizki Noversi', 'Anak I', 'RB Citra Ananda', '811199', 97500, 97500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18455, '68000760', '2004', '18455', '20041028', '20041023', 'Nurul Hidayati', 'Isteri', 'dr Retno', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18456, '70970487', '2004', '18456', '20041028', '20041026', '', 'Pegawai', 'Aptk Rini', '811199', 339900, 339900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18457, '70990586', '2004', '18457', '20041028', '20041026', '', 'Pegawai', 'dr Donny', '811199', 56000, 56000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18458, '69000669', '2004', '18458', '20041028', '20041026', '', 'Anak I', 'RSTria Dipa', '811199', 337500, 337500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18459, '75020004', '2004', '18459', '20041028', '20041019', '', 'Isteri', 'Aptk Jampi Sae', '811199', 134550, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18460, '63970478', '2004', '18460', '20041028', '20041026', '', 'Pegawai', 'dr Bernhard', '811199', 134000, 134000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18461, '70010898', '2004', '18461', '20041028', '20041026', 'Anindya F.', 'Anak I', 'RS Permata Cibubur', '811199', 167600, 167600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18462, '77000672', '2004', '18462', '20041028', '20041016', '', 'Pegawai', 'RSIA Annisa', '811199', 139700, 139700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18463, '67920049', '2004', '18463', '20041028', '20041026', '', 'Pegawai', 'RS Trimitra', '811199', 158000, 158000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18464, '61000731', '2004', '18464', '20041028', '20041020', 'Rio Avicenna Syamil', 'Anak II', 'dr Boed S', '811199', 252200, 252200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18465, '79042172', '2004', '18465', '20041028', '20041026', '', 'Pegawai', 'RS Tebet', '811199', 63590, 63590, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18466, '62910008', '2004', '18466', '20041102', '20041026', 'Naufal', 'Anak II', 'RSPI', '811199', 900733, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18467, '58950188', '2004', '18467', '20041102', '20041027', 'Komerahyatun', 'Isteri', 'dr Agung Prayitno', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18468, '17301957', '2004', '18468', '20041102', '20041027', '', 'Anak I', 'RS Hermina', '811199', 344300, 344300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18469, '67950203', '2004', '18469', '20041102', '20041027', '', 'Pegawai', 'Aptk Febrina', '811199', 124500, 124500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18470, '70000806', '2004', '18470', '20041102', '20041027', '', 'Pegawai', 'dr Nana Karnaen', '811199', 602500, 602500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18471, '74021101', '2004', '18471', '20041102', '20041028', '', 'Isteri', 'RS Tebet', '811199', 224000, 224000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18472, '67042241', '2004', '18472', '20041102', '20041026', '', 'Anak I', 'dr Sunaryo', '811199', 170700, 170700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18473, '76980517', '2004', '18473', '20041102', '20041025', 'Fathya A.W.', 'Anak I', 'Rs Puri Cinere', '811199', 183900, 183900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18474, '16801865', '2004', '18474', '20041102', '20041006', '', 'Anak I', 'dr Idram A', '811199', 208400, 208400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18475, '70950370', '2004', '18475', '20041102', '20041028', '', 'Pegawai', 'dr M Badar', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18476, '75010905', '2004', '18476', '20041102', '20041023', '', 'Pegawai', 'dr Valentin', '811199', 65500, 65500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18477, '61930122', '2004', '18477', '20041102', '20041021', '', 'Pegawai', 'Kimia Farma', '811199', 158300, 158300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18478, '76970457', '2004', '18478', '20041102', '20041025', 'Dimas P.', 'Anak I', 'dr Kurniawan', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18479, '78031489', '2004', '18479', '20041102', '20041020', '', 'Pegawai', 'drg Ratna', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18480, '49920032', '2004', '18480', '20041102', '20041023', 'Suryati', 'Isteri', 'Kimia Farma', '811199', 194000, 194000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18481, '73970495', '2004', '18481', '20041102', '20041027', '', 'Pegawai', 'dr Ira Indriasari', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18482, '73950170', '2004', '18482', '20041102', '20041031', '', 'Pegawai', 'dr Wita', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18483, '70950231', '2004', '18483', '20041102', '20041030', '', 'Pegawai', 'dr Reza', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18484, '17700818', '2004', '18484', '20041102', '20041019', '', 'Pegawai', 'drg Dian Haerani', '811199', 155000, 155000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18485, '52030005', '2004', '18485', '20041102', '20041028', '', 'Isteri', 'dr Indrawati', '811199', 259020, 259020, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18486, '74990649', '2004', '18486', '20041102', '20041027', '', 'Pegawai', 'dr Yanuar', '811199', 113400, 113400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18487, '70031507', '2004', '18487', '20041102', '20041029', '', 'Anak I', 'drg Oyang', '811199', 114400, 114400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18488, '72000772', '2004', '18488', '20041102', '20041023', '', 'Anak I', 'RS Harapan Bunda', '811199', 161800, 161800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18489, '58021106', '2004', '18489', '20041102', '20041009', 'Ica', 'Anak II', 'dr Widjojo', '811199', 63700, 63700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18490, '74950356', '2004', '18490', '20041102', '20041030', '', 'Pegawai', 'Klinik Sentosa', '811199', 407800, 407800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18491, '75031490', '2004', '18491', '20041102', '20041027', '', 'Pegawai', 'dr Amru Harahap', '811199', 290000, 290000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18492, '73042189', '2004', '18492', '20041102', '20041030', '', 'Isteri', 'dr Lilien', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18493, '75021066', '2004', '18493', '20041102', '20041029', '', 'Pegawai', 'drg Elisabeth', '811199', 320000, 320000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18494, '17601989', '2004', '18494', '20041102', '20041031', '', 'Pegawai', 'dr H Syafriddun', '811199', 278700, 278700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18495, '81031505', '2004', '18495', '20041102', '20041030', '', 'Pegawai', 'dr Radjak', '811199', 219700, 219700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18496, '74000715', '2004', '18496', '20041102', '20041029', '', 'Pegawai', 'RS Denta Medika', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18497, '66920067', '2004', '18497', '20041102', '20041030', 'Deny Waty Djaafar', 'Isteri', 'dr Frans Putuhena', '811199', 107500, 107500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18498, '65920048', '2004', '18498', '20041102', '20041025', '', 'Pegawai', 'Aptk Satiti', '811199', 322800, 322800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18499, '72000696', '2004', '18499', '20041102', '20041101', '', 'Anak I', 'RSIA Hermina', '811199', 360965, 360965, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18500, '49960404', '2004', '18500', '20041102', '20041028', 'Yasser', 'Anak II', 'RS Int,l Bintaro', '811199', 375000, 375000, NULL, NULL, 'A', 'medical')





/* Data for the `MedicalRestitusiDetail` table  (Records 18501 - 19000) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18501, '50950207', '2004', '18501', '20041102', '20041028', 'Ira Maya S', 'Anak III', 'CMS', '811199', 2700000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18502, '60032087', '2004', '18502', '20041108', '20041103', '', 'Pegawai', 'dr Darlan Darwis', '811199', 261700, 261700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18503, '58000840', '2004', '18503', '20041108', '20041101', '', 'Pegawai', 'dr Santoso', '811199', 174000, 174000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18504, '70950370', '2004', '18504', '20041108', '20041101', '', 'Anak I', 'RS Rumkital', '811199', 142000, 142000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18505, '65920039', '2004', '18505', '20041108', '20041104', '', 'Pegawai', 'dr S Hendra', '811199', 113500, 113500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18506, '77011035', '2004', '18506', '20041108', '20041027', '', 'Pegawai', 'Aptk Ciledug', '811199', 54000, 54000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18507, '64970465', '2004', '18507', '20041108', '20041106', '', 'Pegawai', 'drg Ganesha', '811199', 195000, 195000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18508, '73021081', '2004', '18508', '20041108', '20041019', '', 'Anak I', 'RS Panti Rapih', '811199', 111000, 111000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18509, '77021429', '2004', '18509', '20041108', '20041107', '', 'Isteri', 'RS Bunda', '811199', 989900, 989900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18510, '5540008', '2004', '18510', '20041108', '20041102', 'Alexandra', 'Isteri', 'dr I Made Wisnu', '811199', 249500, 249500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18511, '66950220', '2004', '18511', '20041108', '20041018', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18512, '71042262', '2004', '18512', '20041108', '20041103', '', 'Isteri', 'dr H Bachtin', '811199', 225500, 105900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18513, '61970468', '2004', '18513', '20041108', '20041101', '', 'Anak I', 'RSB Asih', '811199', 228400, 228400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18514, '77000672', '2004', '18514', '20041108', '20041106', '', 'Pegawai', 'RSIA Annisa', '811199', 88600, 88600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18515, '73042189', '2004', '18515', '20041108', '20041101', '', 'Isteri', 'dr Lilien', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18516, '65950196', '2004', '18516', '20041108', '20041105', '', 'Pegawai', 'RS MMC', '811199', 549200, 549200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18517, '61930122', '2004', '18517', '20041108', '20041101', '', 'Pegawai', 'Klinik Sasana Husada', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18518, '66920029', '2004', '18518', '20041108', '20041026', '', 'Pegawai', 'drg Cintha', '811199', 87000, 87000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18519, '64970460', '2004', '18519', '20041108', '20041025', '', 'Pegawai', 'RS Yadika', '811199', 1111500, 766500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18520, '74000702', '2004', '18520', '20041108', '20041021', '', 'Pegawai', 'RS Mitra Int,l', '811199', 306632, 306632, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18521, '63920047', '2004', '18521', '20041108', '20041103', '', 'Isteri', 'dr Handaya', '811199', 556500, 19220, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18522, '66000735', '2004', '18522', '20041108', '20041005', '', 'Anak I', 'RSIA Tumbuh Kembang', '811199', 613800, 550800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18523, '79042170', '2004', '18523', '20041108', '20041105', '', 'Pegawai', 'dr Rudy Andreas', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18524, '66970473', '2004', '18524', '20041108', '20041102', '', 'Anak I', 'Yay Bina Sehat', '811199', 276500, 276500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18525, '68960412', '2004', '18525', '20041108', '20041102', 'Michelle Shan C.', 'Anak I', 'dr Liliyani', '811199', 270000, 149250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18526, '62920044', '2004', '18526', '20041108', '20041102', '', 'Isteri', 'RS Mitra Int,l', '811199', 1462016, 1462016, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18527, '77042155', '2004', '18527', '20041108', '20041030', '', 'Pegawai', 'dr Ria Kusums Dewi', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18528, '64970465', '2004', '18528', '20041108', '20041016', '', 'Pegawai', 'drg Ganesha', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18529, '60032087', '2004', '18529', '20041108', '20041029', '', 'Pegawai', 'dr Nunick', '811199', 1150000, 102200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18530, '58000840', '2004', '18530', '20041108', '20041101', '', 'Pegawai', 'drg Nunik', '811199', 1814500, 625200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18531, '77011035', '2004', '18531', '20041108', '20041007', '', 'Pegawai', 'Aptk Basmar', '811199', 250000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18532, '65980552', '2004', '18532', '20041108', '20041102', 'Frida Andriani', 'Isteri', 'drg Roesito', '811199', 410500, 388900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18533, '69960401', '2004', '18533', '20041108', '20041103', '', 'Anak III', 'RS Medika Galaxi', '811199', 266300, 40025, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18534, '66920064', '2004', '18534', '20041123', '20041103', 'M. Eryan', 'Anak I', 'Raditya Medika', '811199', 113000, 113000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18535, '65970482', '2004', '18535', '20041108', '20041103', '', 'Pegawai', 'dr Bambang', '811199', 56000, 56000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18536, '70960409', '2004', '18536', '20041108', '20041030', '', 'Pegawai', 'dr Elfrida', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18537, '71950367', '2004', '18537', '20041108', '20041023', '', 'Anak II', 'Klinik Anakku', '811199', 374900, 374900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18538, '69960382', '2004', '18538', '20041108', '20041027', '', 'Pegawai', 'Prima Medika', '811199', 152000, 152000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18539, '49920032', '2004', '18539', '20041108', '20041102', '', 'Pegawai', 'dr Tjandra', '811199', 82000, 82000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18540, '78021416', '2004', '18540', '20041108', '20041102', '', 'Pegawai', 'drg Dian', '811199', 725000, 725000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18541, '71970456', '2004', '18541', '20041108', '20041009', '', 'Pegawai', 'drg Erryzona', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18542, '75990602', '2004', '18542', '20041108', '20041105', '', 'Pegawai', 'drg Ratna Maulana', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18543, '51030006', '2004', '18543', '20041108', '20041031', '', 'Pegawai', 'JEC', '811199', 770000, 770000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18544, '65930147', '2004', '18544', '20041108', '20041028', '', 'Anak I', 'RS Harum', '811199', 429500, 345400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18545, '74031476', '2004', '18545', '20041108', '20041103', '', 'Pegawai', 'RS JMC', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18546, '74000725', '2004', '18546', '20041108', '20041103', '', 'Pegawai', 'ENT Center', '811199', 287500, 287500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18547, '70950231', '2004', '18547', '20041108', '20041104', '', 'Pegawai', 'Ladokgi', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18548, '67042301', '2004', '18548', '20041108', '20041031', '', 'Anak I', 'dr Feti', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18549, '67042301', '2004', '18549', '20041108', '20041016', '', 'Isteri', 'drg Anna', '811199', 353000, 353000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18550, '71011042', '2004', '18550', '20041108', '20040928', '', 'Isteri', 'dr Hariyanto', '811199', 315100, 201100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18551, '60032123', '2004', '18551', '20041108', '20041028', '', 'Anak I', 'dr Henry Pangestu', '811199', 161700, 161700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18552, '60032123', '2004', '18552', '20041108', '20041013', '', 'Anak II', 'dr Henry Pangestu', '811199', 53100, 53100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18553, '79042191', '2004', '18553', '20041108', '20041030', '', 'Pegawai', 'RS PPN', '811199', 52500, 52500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18554, '73042315', '2004', '18554', '20041108', '20041107', '', 'Pegawai', 'dr Gustan', '811199', 99000, 99000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18555, '74950226', '2004', '18555', '20041108', '20041105', 'Dewi Firchati', 'Isteri', 'drg M Jenny', '811199', 750000, 750000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18556, '17301957', '2004', '18556', '20041111', '20041106', '', 'Anak I', 'RS Pondok Indah', '811199', 452746, 204085, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18557, '60910007', '2004', '18557', '20041111', '20040917', '', 'Pegawai', 'drg T Yuvanna', '811199', 502300, 167300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18558, '73970495', '2004', '18558', '20041111', '20041105', '', 'Pegawai', 'RS MMC', '811199', 302325, 302325, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18559, '67042241', '2004', '18559', '20041111', '20041101', '', 'Anak I', 'dr Nucky', '811199', 366300, 366300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18560, '61000731', '2004', '18560', '20041111', '20041030', 'Sri Windarti', 'Isteri', 'Kimia Farma', '811199', 87700, 87700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18561, '66990584', '2004', '18561', '20041111', '20041105', 'Andi Ernawati SE', 'Isteri', 'RS Hermina', '811199', 194000, 194000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18562, '66990584', '2004', '18562', '20041111', '20041013', 'Andi Firyal', 'Anak II', 'RSCM', '811199', 133500, 133500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18563, '79031739', '2004', '18563', '20041111', '20041011', '', 'Pegawai', 'dr I Made', '811199', 155800, 155800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18564, '74990649', '2004', '18564', '20041111', '20041105', '', 'Pegawai', 'dr Krisna', '811199', 61200, 61200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18565, '75020001', '2004', '18565', '20041111', '20041107', '', 'Pegawai', 'Klinik Tumbuh Kembang', '811199', 62000, 62000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18566, '63950202', '2004', '18566', '20041111', '20041108', 'Habapusilah', 'Isteri', 'Klinik Bukit Cirendeu', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18567, '72000763', '2004', '18567', '20041111', '20041105', '', 'Pegawai', 'drg Dian Haerani', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18568, '72000772', '2004', '18568', '20041111', '20041106', '', 'Anak I', 'RS Harapan Bunda', '811199', 231350, 211900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18569, '72021108', '2004', '18569', '20041111', '20041027', '', 'Isteri', 'RS JMC', '811199', 618800, 618800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18570, '73960391', '2004', '18570', '20041111', '20041016', 'Reynard', 'Anak I', 'RS Hermina', '811199', 197600, 197600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18571, '76990604', '2004', '18571', '20041111', '20041105', '', 'Pegawai', 'dr Ira Indriasari', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18572, '63990637', '2004', '18572', '20041111', '20041104', 'Abdul Hadi', 'Anak III', 'Klinik Sejahtera', '811199', 288000, 288000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18573, '77000678', '2004', '18573', '20041111', '20041105', '', 'Pegawai', 'RS Medistra', '811199', 282000, 282000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18574, '59021080', '2004', '18574', '20041111', '20041105', '', 'Anak I', 'dr Kemal', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18575, '57930124', '2004', '18575', '20041111', '20041027', 'Henny Soewasti P', 'Isteri', 'RS Medistra', '811199', 582400, 582400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18576, '70980554', '2004', '18576', '20041111', '20041104', '', 'Anak I', 'RS Permata', '811199', 142000, 142000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18577, '76980517', '2004', '18577', '20041111', '20041108', '', 'Isteri', 'RS Puri Cinere', '811199', 241700, 241700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18578, '17700818', '2004', '18578', '20041111', '20041109', '', 'Pegawai', 'drg Dian Haerani', '811199', 420000, 420000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18579, '65980564', '2004', '18579', '20041111', '20041106', 'Bagas Juwono Priambodo', 'Anak II', 'RS Hermina', '811199', 283330, 283330, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18580, '71000727', '2004', '18580', '20041111', '20041109', '', 'Pegawai', 'dr Warsito', '811199', 193500, 193500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18581, '75020004', '2004', '18581', '20041111', '20041028', '', 'Isteri', 'dr Maulana', '811199', 68000, 68000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18582, '68960412', '2004', '18582', '20041111', '20040927', '', 'Anak II', 'dr Liliyani', '811199', 357000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18583, '65920077', '2004', '18583', '20041111', '20041110', '', 'Pegawai', 'RS Medistra', '811199', 458500, 458500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18584, '66920106', '2004', '18584', '20041111', '20041110', '', 'Anak I', 'Klinik Bakti Sejahtera', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18585, '49960404', '2004', '18585', '20041111', '20041105', 'Yasser', 'Anak II', 'dr Peni', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18586, '49960404', '2004', '18586', '20041111', '20041111', 'Yasser', 'Anak II', 'RS Int,l Bintaro', '811199', 262500, 262500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18587, '73950346', '2004', '18587', '20041111', '20041109', '', 'Pegawai', 'drg Siwy', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18588, '79042172', '2004', '18588', '20041111', '20041110', '', 'Isteri', 'RS Hermina', '811199', 466000, 466000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18589, '65920039', '2004', '18589', '20041111', '20041106', 'Wiwin W,AMK', 'Isteri', 'dr Sofia', '811199', 335000, 335000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18590, '70950231', '2004', '18590', '20041111', '20041109', '', 'Pegawai', 'Aptk Trisakti', '811199', 62500, 62500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18591, '72000707', '2004', '18591', '20041111', '20041109', '', 'Anak I', 'dr Endang', '811199', 137600, 137600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18592, '63920052', '2004', '18592', '20041111', '20041110', 'Asti Rizkiana V', 'Isteri', 'RS Mitra', '811199', 213020, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18593, '72980515', '2004', '18593', '20041123', '20041110', '', 'Anak I', 'dr Huda Hilman', '811199', 436700, 436700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18594, '63950190', '2004', '18594', '20041123', '20041109', '', 'Anak I', 'RSIA Permata Cibubur', '811199', 265000, 265000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18595, '61920045', '2004', '18595', '20041123', '20041006', 'Sutirma J.Rosalina', 'Isteri', 'RS Tumbuh Kembang', '811199', 462800, 63000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18596, '73042189', '2004', '18596', '20041123', '20041109', '', 'Anak I', 'dr  Bambang', '811199', 157600, 157600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18597, '76010936', '2004', '18597', '20041123', '20041110', '', 'Pegawai', 'drg Sylvia Agnes', '811199', 100000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18598, '75031490', '2004', '18598', '20041123', '20041106', '', 'Pegawai', 'dr Amru Harahap', '811199', 142900, 142900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18599, '77011035', '2004', '18599', '20041123', '20041108', '', 'Pegawai', 'Aptk Kimia Farma', '811199', 118000, 118000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18600, '81031505', '2004', '18600', '20041123', '20041109', '', 'Pegawai', 'dr Agus', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18601, '69960396', '2004', '18601', '20041123', '20041109', '', 'Anak I', 'RS Puri Medika', '811199', 84000, 84000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18602, '73042189', '2004', '18602', '20041123', '20041119', '', 'Isteri', 'dr Lilien', '811199', 237000, 189350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18603, '74000725', '2004', '18603', '20041123', '20041110', '', 'Pegawai', 'ENT Center', '811199', 256800, 256800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18604, '59920104', '2004', '18604', '20041123', '20041110', 'Diah Komalasari', 'Isteri', 'RS Mitra Keluarga', '811199', 422800, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18605, '70950370', '2004', '18605', '20041123', '20041110', '', 'Pegawai', 'dr M Badar', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18606, '65970472', '2004', '18606', '20041123', '20041110', '', 'Pegawai', 'Klinik Taman Ratu', '811199', 68000, 68000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18607, '66990584', '2004', '18607', '20041123', '20041112', 'Andi Ernawati SE', 'Isteri', 'RS Hermina', '811199', 405575, 405575, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18608, '66000734', '2004', '18608', '20041123', '20041110', '', 'Anak I', 'RS JMC', '811199', 469200, 469200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18609, '70990648', '2004', '18609', '20041123', '20041121', 'Faizah Rahmah Izzatudini', 'Anak I', 'Klinik Kusuma Bunda', '811199', 89000, 89000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18610, '76031759', '2004', '18610', '20041123', '20041122', '', 'Pegawai', 'RS Harapan Kita', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18611, '61970468', '2004', '18611', '20041123', '20041110', '', 'Anak I', 'dr Harjono', '811199', 244500, 194600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18612, '67990636', '2004', '18612', '20041123', '20041101', '', 'Pegawai', 'drg Dewi', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18613, '78042328', '2004', '18613', '20041123', '20041116', '', 'Pegawai', 'RS Ananda', '811199', 90500, 90500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18614, '61930122', '2004', '18614', '20041123', '20041109', '', 'Pegawai', 'Klinik Sasana Husada', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18615, '57910014', '2004', '18615', '20041123', '20041111', '', 'Pegawai', 'dr Yacob', '811199', 87900, 87900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18616, '16801865', '2004', '18616', '20041123', '20041118', '', 'Pegawai', 'Klinik Limus', '811199', 363000, 363000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18617, '68920053', '2004', '18617', '20041123', '20041112', 'Syahida Nurrahmah', 'Anak II', 'Aptk Fortune', '811199', 111300, 111300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18618, '74950356', '2004', '18618', '20041123', '20041116', '', 'Pegawai', 'dr Erik', '811199', 480000, 480000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18619, '62920017', '2004', '18619', '20041123', '20041117', '', 'Pegawai', 'Balai Kurnia Bhakti', '811199', 395000, 395000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18620, '51030006', '2004', '18620', '20041123', '20041112', '', 'Pegawai', 'dr Indrajana', '811199', 534000, 534000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18621, '71990647', '2004', '18621', '20041123', '20041101', 'Yanti Sinaga', 'Isteri', 'RSAB Harkit', '811199', 155000, 155000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18622, '17300901', '2004', '18622', '20041123', '20041105', '', 'Anak I', 'RS Hermina', '811199', 308500, 308500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18623, '68000709', '2004', '18623', '20041123', '20041117', '', 'Anak I', 'RS Hermina', '811199', 355600, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18624, '74021263', '2004', '18624', '20041123', '20041108', '', 'Pegawai', 'Klinik Prima Medika', '811199', 110600, 94600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18625, '66920067', '2004', '18625', '20041123', '20041119', 'Deny Waty Djaafar', 'Isteri', 'dr Frans Putuhena', '811199', 227500, 227500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18626, '76980517', '2004', '18626', '20041123', '20041118', '', 'Isteri', 'RS Puri Cinere', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18627, '65000730', '2004', '18627', '20041125', '20041122', 'Rini Mayasari S', 'Isteri', 'RS Boromeus', '811199', 734200, 734200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18628, '63990637', '2004', '18628', '20041125', '20041121', 'Imaduddin A.R', 'Anak I', 'Rs Pasar Rebo', '811199', 152000, 152000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18629, '16801896', '2004', '18629', '20041125', '20041108', '', 'Anak I', 'dr Adnan', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18630, '68920057', '2004', '18630', '20041125', '20041110', '', 'Anak I', 'RS Puri Cinere', '811199', 443200, 443200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18631, '58950188', '2004', '18631', '20041125', '20041123', 'Komerahyatun', 'Isteri', 'RS Harapan Bunda', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18632, '77000672', '2004', '18632', '20041125', '20041123', '', 'Pegawai', 'RSIA Annisa', '811199', 88600, 88600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18633, '60970471', '2004', '18633', '20041125', '20041111', '', 'Pegawai', 'RS Pertamina', '811199', 186684, 186684, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18634, '63970478', '2004', '18634', '20041125', '20041109', '', 'Pegawai', 'dr Bernhard', '811199', 156000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18635, '76970457', '2004', '18635', '20041125', '20041110', 'Dimas P.', 'Anak I', 'dr Kurniawan', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18636, '64930110', '2004', '18636', '20041125', '20041104', '', 'Isteri', 'RSPI', '811199', 242396, 242396, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18637, '66920106', '2004', '18637', '20041125', '20041119', '', 'Pegawai', 'dr Marjono', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18638, '70970475', '2004', '18638', '20041125', '20041112', '', 'Anak I', 'RS Anna', '811199', 112200, 112200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18639, '50950207', '2004', '18639', '20041125', '20041124', 'Sapariyah', 'Isteri', 'Bhakti Yudha', '811199', 532000, 532000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18640, '74950226', '2004', '18640', '20041125', '20041122', 'Syifa Ghallyah', 'Anak I', 'dr Tan Gek Soan', '811199', 532500, 532500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18641, '66990584', '2004', '18641', '20041125', '20041113', 'Andi Maysita Areshaska', 'Anak I', 'RS Hermina', '811199', 211500, 211500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18642, '17501895', '2004', '18642', '20041125', '20041122', '', 'Anak I', 'Aptk Mas Naga', '811199', 222800, 222800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18643, '74000719', '2004', '18643', '20041125', '20041118', '', 'Pegawai', 'dr Soewandhy', '811199', 80300, 80300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18644, '72000696', '2004', '18644', '20041125', '20041117', '', 'Anak I', 'RSIA Hermina', '811199', 187280, 187280, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18645, '68920053', '2004', '18645', '20041125', '20041116', 'Janti Susanti', 'Isteri', 'RS Hermina', '811199', 240850, 240850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18646, '71042476', '2004', '18646', '20041130', '20041022', '', 'Anak I', 'Klinik Syarif', '811199', 360900, 360900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18647, '75020004', '2004', '18647', '20041130', '20041122', '', 'Isteri', 'dr Maulana', '811199', 301500, 280000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18648, '70950370', '2004', '18648', '20041130', '20041120', '', 'Pegawai', 'drg Theresia', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18649, '60950353', '2004', '18649', '20041130', '20041124', '', 'Anak I', 'RS Int,l Bintaro', '811199', 296435, 296435, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18650, '71011018', '2004', '18650', '20041130', '20041117', '', 'Isteri', 'Ritifa Klinik', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18651, '74021101', '2004', '18651', '20041130', '20041104', '', 'Isteri', 'RS Abdi Waluyo', '811199', 178000, 178000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18652, '67970470', '2004', '18652', '20041130', '20041119', '', 'Pegawai', 'RS Bina Husada', '811199', 179800, 179800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18653, '71950212', '2004', '18653', '20041130', '20041107', '', 'Pegawai', 'dr Julie', '811199', 322500, 322500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18654, '68950371', '2004', '18654', '20041130', '20041127', '', 'Anak II', 'RS Permata', '811199', 126000, 126000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18655, '61920045', '2004', '18655', '20041130', '20041127', '', 'Anak I', 'RS Tumbuh Kembang', '811199', 163400, 163400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18656, '76970457', '2004', '18656', '20041130', '20041129', 'Dimas P.', 'Anak I', 'dr Kurniawan', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18657, '70010898', '2004', '18657', '20041130', '20041123', '', 'Isteri', 'RS Permata Cibubur', '811199', 177500, 177500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18658, '70980570', '2004', '18658', '20041130', '20041112', 'Nabil', 'Anak I', 'RS Haji Jakarta', '811199', 277100, 277100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18659, '78021087', '2004', '18659', '20041130', '20041123', '', 'Pegawai', 'dr Paulus', '811199', 116400, 116400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18660, '17702001', '2004', '18660', '20041130', '20041122', '', 'Pegawai', 'dr HM Haryo', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18661, '77000793', '2004', '18661', '20041130', '20041128', '', 'Pegawai', 'Poliklinik Sigra', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18662, '75020001', '2004', '18662', '20041130', '20041120', '', 'Pegawai', 'dr Mulyadi', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18663, '77011035', '2004', '18663', '20041130', '20041119', '', 'Pegawai', 'dr Edwin Rakum', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18664, '71011018', '2004', '18664', '20041130', '20041127', '', 'Anak I', 'dr M Kukuh', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18665, '71011018', '2004', '18665', '20041130', '20041126', '', 'Pegawai', 'dr Maryono', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18666, '73032086', '2004', '18666', '20041130', '20041127', '', 'Pegawai', 'drg Indro', '811199', 325000, 325000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18667, '63920052', '2004', '18667', '20041130', '20041125', 'Asti Rizkiana V', 'Isteri', 'RS Mitra', '811199', 368500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18668, '71950367', '2004', '18668', '20041130', '20041128', '', 'Anak II', 'RS Cikini', '811199', 592664, 592664, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18669, '60970479', '2004', '18669', '20041130', '20041127', '', 'Pegawai', 'drg Hendrik Irawan', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18670, '76980517', '2004', '18670', '20041130', '20041125', '', 'Isteri', 'RS Puri Cinere', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18671, '72950364', '2004', '18671', '20041130', '20041110', '', 'Pegawai', 'RS Tria Dipa', '811199', 290000, 290000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18672, '65920033', '2004', '18672', '20041130', '20041127', '', 'Anak III', 'dr Azwir Z', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18673, '70031507', '2004', '18673', '20041130', '20041125', '', 'Isteri', 'dr Syawan', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18674, '64980559', '2004', '18674', '20041130', '20040911', 'Virtiany Pradawani', 'Anak I', 'dr Tinawati', '811199', 853500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18675, '63970464', '2004', '18675', '20041130', '20041112', '', 'Pegawai', 'Ladokgi', '811199', 20000, 20000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18676, '59021080', '2004', '18676', '20041130', '20041123', '', 'Isteri', 'Aptk Era Medika', '811199', 234800, 234800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18677, '79031439', '2004', '18677', '20041130', '20041129', '', 'Pegawai', 'drg Koesmanto', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18678, '66920064', '2004', '18678', '20041130', '20041126', 'M. Eryan', 'Anak I', 'Raditya Medika', '811199', 119800, 119800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18679, '59920104', '2004', '18679', '20041130', '20041123', 'Diah Komalasari', 'Isteri', 'RS Mitra Keluarga', '811199', 841000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18680, '71011018', '2004', '18680', '20041130', '20041117', '', 'Isteri', 'Ritifa Klinik', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18681, '00030010', '2004', '18681', '20041130', '20041106', '', 'Pegawai', 'Prore Vital', '811199', 1490000, 1106000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18682, '76030008', '2004', '18682', '20041202', '20041127', '', 'Pegawai', 'drg Soerachmo', '811199', 48000, 48000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18683, '71011042', '2004', '18683', '20041202', '20041201', '', 'Pegawai', 'dr Suprihati', '811199', 143000, 143000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18684, '66980545', '2004', '18684', '20041202', '20041113', '', 'Pegawai', 'RS Tria Dipa', '811199', 84500, 84500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18685, '17601989', '2004', '18685', '20041202', '20041128', '', 'Pegawai', 'Bidan Warsiningsih', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18686, '62920017', '2004', '18686', '20041230', '20041130', '', 'Pegawai', 'dr Abidin', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18687, '69021047', '2004', '18687', '20041202', '20041109', '', 'Anak I', 'dr Hartati', '811199', 750300, 250300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18688, '76021048', '2004', '18688', '20041202', '20041126', '', 'Pegawai', 'Klinik Tiara', '811199', 113000, 113000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18689, '76021234', '2004', '18689', '20041202', '20041130', '', 'Pegawai', 'Klinik Mulya', '811199', 72200, 72200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18690, '61920069', '2004', '18690', '20041202', '20041110', 'Mochamad Bayu Seto', 'Anak I', 'Aptk Wisnu', '811199', 171200, 171200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18691, '52030005', '2004', '18691', '20041202', '20041125', '', 'Isteri', 'dr Indrawati', '811199', 211550, 211550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18692, '68920053', '2004', '18692', '20041202', '20041125', 'Syahida Nurrahmah', 'Anak II', 'dr Baralangit', '811199', 470000, 470000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18693, '70940155', '2004', '18693', '20041202', '20041101', '', 'Pegawai', 'Klinik Prima Holistik', '811199', 141000, 141000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18694, '60960384', '2004', '18694', '20041202', '20041109', '', 'Anak II', 'RS Hermina', '811199', 199950, 199950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18695, '68960412', '2004', '18695', '20041207', '20041128', '', 'Pegawai', 'Klinik Tiara', '811199', 185250, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18696, '70970475', '2004', '18696', '20041207', '20041129', '', 'Anak I', 'RS Anna', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18697, '66970473', '2004', '18697', '20041207', '20041110', '', 'Anak I', 'Yay Bina Sehat', '811199', 247500, 247500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18698, '49960404', '2004', '18698', '20041207', '20041120', 'Yasser', 'Anak II', 'RS Int,l Bintaro', '811199', 461000, 461000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18699, '17301957', '2004', '18699', '20041207', '20041127', '', 'Anak II', 'dr Aries Soebardi', '811199', 294525, 294525, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18700, '66950220', '2004', '18700', '20041207', '20041202', 'Venny Andrianingtias', 'Anak II', 'RB Putra Dalima', '811199', 464392, 464392, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18701, '66000734', '2004', '18701', '20041207', '20041202', '', 'Pegawai', 'Apotek Aji Waras', '811199', 241500, 241500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18702, '65970472', '2004', '18702', '20041207', '20041202', '', 'Pegawai', 'Dr. Michael', '811199', 405000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18703, '65980564', '2004', '18703', '20041207', '20041201', 'Nabila Putri Larasati', 'Anak I', 'RS Hermina', '811199', 307760, 307760, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18704, '75980563', '2004', '18704', '20041207', '20041118', '', 'Anak I', 'RS Hermina', '811199', 401590, 392260, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18705, '79021076', '2004', '18705', '20041207', '20041202', '', 'Pegawai', 'RS Medistra', '811199', 249300, 249300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18706, '70010882', '2004', '18706', '20041207', '20041130', '', 'Anak I', 'dr Zakiudin', '811199', 317400, 317400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18707, '61930122', '2004', '18707', '20041207', '20041202', '', 'Pegawai', 'RS Medistra', '811199', 44000, 44000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18708, '17601989', '2004', '18708', '20041207', '20041202', '', 'Pegawai', 'dr Madyana', '811199', 310500, 7400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18709, '77011035', '2004', '18709', '20041207', '20041130', '', 'Pegawai', 'drg Dian Haerani', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18710, '79010904', '2004', '18710', '20041207', '20041204', '', 'Pegawai', 'RS Harum', '811199', 431000, 431000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18711, '68021214', '2004', '18711', '20041207', '20041105', '', 'Pegawai', 'Klinik Tiara Medika', '811199', 225000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18712, '70950231', '2004', '18712', '20041210', '20041203', '', 'Pegawai', 'dr Reza Purwoko', '811199', 365000, 365000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18713, '74021263', '2004', '18713', '20041207', '20041204', '', 'Anak I', 'dr Bambang', '811199', 197500, 197500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18714, '66920106', '2004', '18714', '20041207', '20041205', 'Fitriani', 'Isteri', 'Bp Yadi', '811199', 275000, 275000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18715, '72000696', '2004', '18715', '20041207', '20041204', '', 'Anak I', 'RSIA Hermina', '811199', 299650, 299650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18716, '65000730', '2004', '18716', '20041207', '20041126', '', 'Pegawai', 'RS Boromeus', '811199', 641700, 641700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18717, '66950220', '2004', '18717', '20041207', '20041204', 'Venny Andrianingtias', 'Anak II', 'RB Putra Dalim', '811199', 242083, 242083, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18718, '16701946', '2004', '18718', '20041207', '20041201', '', 'Anak I', 'dr Wiranto', '811199', 348800, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18719, '68920053', '2004', '18719', '20041207', '20041203', 'Janti Susanti', 'Isteri', 'RS Hermina', '811199', 265000, 265000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18720, '17101947', '2004', '18720', '20041207', '20041127', '', 'Anak I', 'RSU Bhakti Yudha', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18721, '58950188', '2004', '18721', '20041207', '20041204', '', 'Anak I', 'dr Agung', '811199', 68000, 68000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18722, '66920026', '2004', '18722', '20041207', '20041201', 'Ngakan Made Prakasa Judha', 'Anak II', 'Panti Nugraha', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18723, '65960416', '2004', '18723', '20041207', '20041201', '', 'Anak II', 'Klinik Panti Nugraha', '811199', 800000, 800000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18724, '71042200', '2004', '18724', '20041207', '20041111', '', 'Isteri', 'RS Puri Cinere', '811199', 266000, 266000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18725, '67950168', '2004', '18725', '20041207', '20041112', '', 'Pegawai', 'RS Jakarta', '811199', 1082879, 1082879, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18726, '65920077', '2004', '18726', '20041207', '20041201', '', 'Pegawai', 'RS Honoris', '811199', 1008000, 1008000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18727, '67950193', '2004', '18727', '20041207', '20041203', '', 'Pegawai', 'dr Mala', '811199', 395500, 395500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18728, '63000711', '2004', '18728', '20041207', '20041204', '', 'Pegawai', 'RS MMC', '811199', 879000, 879000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18729, '63990637', '2004', '18729', '20041207', '20041203', 'Aulia Rahman', 'Anak II', 'RSUD Budhi Asih', '811199', 226000, 226000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18730, '62910013', '2004', '18730', '20041207', '20041207', 'Nur Hasanah', 'Isteri', 'Klinik Keluarga', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18731, '79042172', '2004', '18731', '20041207', '20041206', '', 'Isteri', 'RS Hermina', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18732, '5540008', '2004', '18732', '20041207', '20041130', 'Adhika Paramarta Sajjana', 'Anak I', 'JEC', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18733, '67950172', '2004', '18733', '20041210', '20041205', '', 'Pegawai', 'RS Permata Cibubur', '811199', 515100, 394600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18734, '70031507', '2004', '18734', '20041210', '20041204', '', 'Pegawai', 'RS Saint Carolus', '811199', 375000, 375000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18735, '72000707', '2004', '18735', '20041210', '20041203', '', 'Pegawai', 'dr Endang', '811199', 143000, 123400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18736, '74990649', '2004', '18736', '20041210', '20041128', '', 'Pegawai', 'dr Rudy', '811199', 138000, 138000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18737, '73010870', '2004', '18737', '20041210', '20041204', '', 'Pegawai', 'ENT Center', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18738, '78010962', '2004', '18738', '20041210', '20041117', '', 'Isteri', 'dr Dian', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18739, '62920017', '2004', '18739', '20041210', '20041203', '', 'Pegawai', 'dr Agung', '811199', 390000, 390000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18740, '5540008', '2004', '18740', '20041210', '20041130', 'Alexandra', 'Isteri', 'RS THT Ciranjang', '811199', 422200, 422200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18741, '56920028', '2004', '18741', '20041210', '20041106', 'Maulina Dewi Wanodya', 'Anak I', 'Aptk Victory', '811199', 62000, 62000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18742, '78000693', '2004', '18742', '20041210', '20041207', '', 'Pegawai', 'dr T Tabalujan', '811199', 115800, 115800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18743, '60032087', '2004', '18743', '20041210', '20041122', '', 'Pegawai', 'dr Afriyanti', '811199', 137700, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18744, '77000672', '2004', '18744', '20041210', '20041207', '', 'Pegawai', 'RSIA Annisa', '811199', 80700, 80700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18745, '51030006', '2004', '18745', '20041210', '20041204', '', 'Pegawai', 'dr Indrajana', '811199', 673000, 673000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18746, '67950193', '2004', '18746', '20041210', '20041207', 'Mohammad Abbyrawa Ganesia Nugroho', 'Anak I', 'drg Dian', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18747, '61920045', '2004', '18747', '20041210', '20041204', '', 'Anak I', 'RS Tumbuh Kembang', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18748, '63950202', '2004', '18748', '20041210', '20041202', 'Habapusilah', 'Isteri', 'Klinik Bukit Cirendeu', '811199', 211700, 211700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18749, '66920029', '2004', '18749', '20041207', '20040326', 'Putri Java Islami Yuntoharjo', 'Anak II', 'RS Graha Raya Medika', '811199', 1015500, 421000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18750, '63970478', '2004', '18750', '20041210', '20041121', '', 'Pegawai', 'dr Bernhard', '811199', 312500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18751, '16801865', '2004', '18751', '20041210', '20041208', '', 'Anak I', 'RS Hermina', '811199', 233300, 5995, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18752, '66970473', '2004', '18752', '20041210', '20041206', '', 'Anak I', 'Yay Bina Sehat', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18753, '73950170', '2004', '18753', '20041210', '20041203', '', 'Anak I', 'Cahaya Medika', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18754, '66000734', '2004', '18754', '20041210', '20041209', '', 'Anak I', 'dr Cita', '811199', 400300, 400300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18755, '79010904', '2004', '18755', '20041210', '20041208', '', 'Pegawai', 'RS Harum', '811199', 331000, 331000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18756, '74042272', '2004', '18756', '20041210', '20041202', '', 'Pegawai', 'dr Adnan', '811199', 146500, 146500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18757, '77000678', '2004', '18757', '20041210', '20041208', '', 'Pegawai', 'RS Medistra', '811199', 315000, 315000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18758, '65970482', '2004', '18758', '20041210', '20041209', '', 'Pegawai', 'dr Bambang', '811199', 67000, 67000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18759, '68960412', '2004', '18759', '20041210', '20041208', '', 'Pegawai', 'dr Liliyani', '811199', 110000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18760, '55021244', '2004', '18760', '20041210', '20041209', 'Tisnowati', 'Isteri', 'RS Haji Jakarta', '811199', 266950, 266950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18761, '70010898', '2004', '18761', '20041210', '20041209', '', 'Pegawai', 'RS Permata Cibubur', '811199', 434200, 434200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18762, '76970457', '2004', '18762', '20041210', '20041207', 'Dimas P.', 'Anak I', 'dr Kurniawan', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18763, '65920039', '2004', '18763', '20041214', '20041211', '', 'Anak I', 'Ichsan Medika', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18764, '72950345', '2004', '18764', '20041214', '20041210', '', 'Pegawai', 'dr Ita Herawati', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18765, '60950353', '2004', '18765', '20041214', '20041210', '', 'Pegawai', 'drg Dian Haerani', '811199', 155000, 155000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18766, '76030008', '2004', '18766', '20041214', '20041208', '', 'Anak I', 'Aptk Kimia Farma', '811199', 40500, 40500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18767, '75031506', '2004', '18767', '20041214', '20041209', '', 'Pegawai', 'Bor Medical Centre', '811199', 106500, 106500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18768, '64970465', '2004', '18768', '20041214', '20041211', '', 'Pegawai', 'drg Ganesha', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18769, '70950370', '2004', '18769', '20041214', '20041209', '', 'Pegawai', 'drg Maria', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18770, '66920063', '2004', '18770', '20041214', '20041201', '', 'Isteri', 'Kinik Swadharma', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18771, '67042301', '2004', '18771', '20041214', '20041211', '', 'Anak I', 'RS Boromeus', '811199', 440600, 440600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18772, '50950207', '2004', '18772', '20041214', '20041211', 'Ira Maya S', 'Anak III', 'dr Depari', '811199', 361300, 361300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18773, '57930113', '2004', '18773', '20041214', '20041208', 'Anggraini Rahayu Widyanti', 'Anak I', 'drg Hendyanti', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18774, '57930113', '2004', '18774', '20041214', '20041208', 'Anggraini Rahayu Widyanti', 'Anak I', 'RSPI', '811199', 140673, 140673, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18775, '17501981', '2004', '18775', '20041214', '20041213', '', 'Isteri', 'RS Dharma Nugraha', '811199', 158900, 158900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18776, '72950363', '2004', '18776', '20041214', '20041130', '', 'Anak I', 'dr Retno', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18777, '5540008', '2004', '18777', '20041214', '20041213', 'Samarthya Priyahita', 'Anak II', 'dr H Hinara', '811199', 550000, 550000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18778, '79031439', '2004', '18778', '20041214', '20041207', '', 'Pegawai', 'dr Taufan', '811199', 252000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18779, '62920017', '2004', '18779', '20041214', '20041212', '', 'Pegawai', 'RSTria Dipa', '811199', 246170, 246170, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18780, '72950205', '2004', '18780', '20041214', '20041213', 'Rizqullah Ishaq', 'Anak I', 'RSIA Tumbuh Kembang', '811199', 127500, 127500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18781, '70010882', '2004', '18781', '20041214', '20041008', '', 'Isteri', 'Aptk Nidea', '811199', 149600, 149600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18782, '69000669', '2004', '18782', '20041214', '20041201', '', 'Anak I', 'RS Tria Dipa', '811199', 128000, 128000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18783, '65920018', '2004', '18783', '20041214', '20041211', 'Irvansyah Firdaus', 'Anak II', 'dr Himawan', '811199', 226700, 226700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18784, '72990610', '2004', '18784', '20041214', '20041211', '', 'Pegawai', 'dr Teddy', '811199', 51000, 51000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18785, '65970472', '2004', '18785', '20041214', '20041211', '', 'Pegawai', 'RS Graha Medika', '811199', 385000, 385000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18786, '60950189', '2004', '18786', '20041214', '20041124', 'iis Elisabet', 'Isteri', 'RS Bumi Lestari', '811199', 135500, 135500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18787, '66950220', '2004', '18787', '20041214', '20041211', 'Venny Andrianingtias', 'Anak II', 'RS Medika', '811199', 123000, 123000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18788, '71011042', '2004', '18788', '20041214', '20041203', '', 'Pegawai', 'dr Suprihati', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18789, '76030008', '2004', '18789', '20041214', '20041207', '', 'Pegawai', 'drg Umi', '811199', 33000, 33000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18790, '71042262', '2004', '18790', '20041214', '20041126', '', 'Isteri', 'RS Plamongan', '811199', 125000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18791, '70960377', '2004', '18791', '20041214', '20041124', '', 'Pegawai', 'JMC', '811199', 83100, 83100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18792, '70940155', '2004', '18792', '20041214', '20041213', 'Absari Yuniarti', 'Isteri', 'Klinik Maria', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18793, '17501981', '2004', '18793', '20041216', '20041214', '', 'Pegawai', 'RS Saint Carolus', '811199', 638800, 638800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18794, '70000684', '2004', '18794', '20041216', '20041210', '', 'Anak I', 'Klinik Aqma', '811199', 328400, 328400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18795, '80042199', '2004', '18795', '20041216', '20041214', '', 'Pegawai', 'RS Medistra', '811199', 235000, 235000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18796, '68920053', '2004', '18796', '20041216', '20041212', '', 'Pegawai', 'dr Dodo Hando', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18797, '66000734', '2004', '18797', '20041216', '20041214', '', 'Anak I', 'dr Cita', '811199', 535000, 535000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18798, '5540008', '2004', '18798', '20041216', '20041211', 'Alexandra', 'Isteri', 'RSPI', '811199', 244000, 244000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18799, '74000719', '2004', '18799', '20041216', '20041214', '', 'Pegawai', 'Klinik Limus', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18800, '69940161', '2004', '18800', '20041216', '20041214', 'Ratnadya Thurfa', 'Anak I', 'RS MMC', '811199', 475300, 475300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18801, '71960403', '2004', '18801', '20041216', '20041209', '', 'Pegawai', 'RSPAD Gatot Subroto', '811199', 370000, 370000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18802, '73000773', '2004', '18802', '20041216', '20041207', '', 'Pegawai', 'RS Omni Medical', '811199', 216350, 216350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18803, '79010904', '2004', '18803', '20041216', '20041209', '', 'Pegawai', 'YKI', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18804, '68021214', '2004', '18804', '20041216', '20041211', '', 'Pegawai', 'Klinik Ciputra', '811199', 211000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18805, '72950223', '2004', '18805', '20041216', '20041127', '', 'Anak I', 'Klinik Citra', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18806, '66950355', '2004', '18806', '20041216', '20041206', '', 'Pegawai', 'dr Lembah', '811199', 90000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18807, '74021101', '2004', '18807', '20041216', '20041129', '', 'Isteri', 'RS Bunda', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18808, '61920069', '2004', '18808', '20041216', '20041206', 'Retno Murti Laila', 'Isteri', 'Aptk Sarika', '811199', 100700, 100700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18809, '60970474', '2004', '18809', '20041216', '20041208', '', 'Pegawai', 'drg Gina', '811199', 625000, 568800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18810, '76980517', '2004', '18810', '20041216', '20041214', '', 'Isteri', 'RS Puri Cinere', '811199', 300000, 238300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18811, '51980512', '2004', '18811', '20041216', '20040101', '', 'Pegawai', 'Aptk Odopharm', '811199', 1140300, 822300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18812, '70950204', '2004', '18812', '20041216', '20041207', 'Rustini', 'Isteri', 'Bidan Sukamti', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18813, '60920041', '2004', '18813', '20041216', '20041206', 'Danapati Suprakasa', 'Anak III', 'RS Bunda', '811199', 455500, 455500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18814, '71950367', '2004', '18814', '20041216', '20041202', '', 'Anak II', 'RS Cikini', '811199', 442900, 442900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18815, '65950196', '2004', '18815', '20041216', '20041211', '', 'Pegawai', 'RS MMC', '811199', 254600, 122500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18816, '73021081', '2004', '18816', '20041216', '20041207', '', 'Pegawai', 'RS Barromeus', '811199', 390300, 390300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18817, '73042189', '2004', '18817', '20041216', '20041130', '', 'Isteri', 'dr Lilien', '811199', 212400, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18818, '63920047', '2004', '18818', '20041221', '20041211', '', 'Isteri', 'RS Medistra', '811199', 810500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18819, '77011035', '2004', '18819', '20041221', '20041210', '', 'Pegawai', 'dr H Edwin', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18820, '74990649', '2004', '18820', '20041221', '20041215', '', 'Pegawai', 'RS Asih', '811199', 307000, 307000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18821, '74011037', '2004', '18821', '20041221', '20041209', '', 'Isteri', 'dr Subur', '811199', 184900, 184900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18822, '8002002', '2004', '18822', '20041221', '20041213', '', 'Pegawai', 'dr Angelita', '811199', 281200, 281200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18823, '77000672', '2004', '18823', '20041221', '20041216', '', 'Pegawai', 'RS Siloam', '811199', 240200, 239613, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18824, '65970472', '2004', '18824', '20041221', '20041216', '', 'Pegawai', 'dr Michael', '811199', 680000, 680000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18825, '74950356', '2004', '18825', '20041221', '20041211', 'Thifal N.', 'Anak II', 'Klinik Sentosa', '811199', 137000, 137000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18826, '68960412', '2004', '18826', '20041221', '20041212', 'Lily April Juliana Simanjuntak', 'Isteri', 'Klinik Satiti', '811199', 331500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18827, '57980555', '2004', '18827', '20041221', '20041118', 'Rusmiati', 'Isteri', 'dr Endang', '811199', 495100, 380100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18828, '66980545', '2004', '18828', '20041221', '20041209', 'Rika Waisulkarni', 'Isteri', 'dr Suharyanti', '811199', 2016500, 318000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18829, '65920039', '2004', '18829', '20041221', '20041213', '', 'Anak I', 'RS Int,l Bintaro', '811199', 239500, 239500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18830, '68950341', '2004', '18830', '20041221', '20041218', '', 'Anak I', 'RS Harapn Kita', '811199', 163500, 163500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18831, '68960412', '2004', '18831', '20041221', '20041210', 'Michelle Shan C.', 'Anak I', 'dr Liliyani', '811199', 200000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18832, '66920026', '2004', '18832', '20041221', '20041219', 'Ngakan Made Prakasa Judha', 'Anak II', 'RS Int,l Bintaro', '811199', 413000, 413000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18833, '66000734', '2004', '18833', '20041221', '20041218', '', 'Anak I', 'RS Puri Cinere', '811199', 553200, 385700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18834, '72000772', '2004', '18834', '20041221', '20041203', '', 'Isteri', 'RS Harapan Bunda', '811199', 565700, 465000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18835, '79010904', '2004', '18835', '20041221', '20041215', '', 'Pegawai', 'RS Harum', '811199', 301650, 164900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18836, '61920069', '2004', '18836', '20041221', '20041218', '', 'Pegawai', 'Aptk Sarika', '811199', 75200, 75200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18837, '74990578', '2004', '18837', '20041221', '20041208', '', 'Pegawai', 'dr A Sahab', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18838, '70950183', '2004', '18838', '20041221', '20041221', '', 'Pegawai', 'RS Medistra', '811199', 427000, 427000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18839, '57930124', '2004', '18839', '20041221', '20041110', 'Henny Soewasti P', 'Isteri', 'RSCM', '811199', 965000, 405000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18840, '77032118', '2004', '18840', '20041221', '20041215', '', 'Pegawai', 'dr Joko', '811199', 326000, 326000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18841, '76970457', '2004', '18841', '20041221', '20041218', 'Tri Silawati', 'Isteri', 'dr Kurniawan', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18842, '77011033', '2004', '18842', '20041221', '20041220', '', 'Pegawai', 'RS Medistra', '811199', 1216000, 1216000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18843, '69021047', '2004', '18843', '20041221', '20041203', '', 'Pegawai', 'RS Siaga Raya', '811199', 351000, 351000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18844, '69000687', '2004', '18844', '20041221', '20041213', '', 'Pegawai', 'RSPI', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18845, '68950371', '2004', '18845', '20041221', '20041220', 'Anggraini', 'Isteri', 'dr Purnomo', '811199', 735500, 735500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18846, '68021246', '2004', '18846', '20041221', '20041215', '', 'Pegawai', 'Klinik Jati Raya', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18847, '70970487', '2004', '18847', '20041221', '20041221', '', 'Pegawai', 'dr Supriyadi', '811199', 339900, 339900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18848, '65920077', '2004', '18848', '20041221', '20041218', '', 'Pegawai', 'RS Honoris', '811199', 387000, 387000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18849, '70031507', '2004', '18849', '20041221', '20041220', '', 'Pegawai', 'RS Saint Carolus', '811199', 570000, 570000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18850, '77011035', '2004', '18850', '20041221', '20041216', '', 'Pegawai', 'RB Mulya', '811199', 139400, 139400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18851, '80021417', '2004', '18851', '20041221', '20041215', '', 'Pegawai', 'dr Harini', '811199', 97500, 97500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18852, '71011018', '2004', '18852', '20041221', '20041217', '', 'Anak I', 'RS Hermina', '811199', 150600, 150600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18853, '69960396', '2004', '18853', '20041221', '20041206', '', 'Anak I', 'RS puri Medika', '811199', 92000, 92000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18854, '71960398', '2004', '18854', '20041221', '20041217', '', 'Anak I', 'RS Graha Medika', '811199', 261500, 261500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18855, '65980564', '2004', '18855', '20041221', '20041220', 'Sekar P. L', 'Anak III', 'RS Hermina', '811199', 324965, 324965, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18856, '70970487', '2004', '18856', '20041221', '20041221', '', 'Pegawai', 'Century', '811199', 360000, 360000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18857, '70970487', '2004', '18857', '20041221', '20041220', '', 'Pegawai', 'RS Bintaro Inte,l', '811199', 950300, 950300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18858, '16801896', '2004', '18858', '20041223', '20041215', '', 'Anak I', 'dr Adnan', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18859, '70950370', '2004', '18859', '20041223', '20041221', '', 'Pegawai', 'dr M Badar', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18860, '66920063', '2004', '18860', '20041223', '20041201', '', 'Pegawai', 'Klinik Swadharma', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18861, '62920050', '2004', '18861', '20041223', '20041221', 'Teti Auliya A', 'Isteri', 'RS Paviliun Kartika', '811199', 198500, 198500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18862, '55021244', '2004', '18862', '20041223', '20041221', 'Tisnowati', 'Isteri', 'RS Haji Jakarta', '811199', 241100, 241100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18863, '60032087', '2005', '18863', '20041223', '20041214', '', '', 'dr Faricha', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18864, '68920053', '2004', '18864', '20041223', '20041217', 'Janti Susanti', 'Isteri', 'RS Hermina', '811199', 114500, 114500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18865, '61000731', '2004', '18865', '20041223', '20041218', 'Sri Windarti', 'Isteri', 'Kimia Farma', '811199', 802700, 802700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18866, '66010859', '2004', '18866', '20041223', '20041221', 'Anisya B.', 'Anak I', 'dr Santy', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18867, '66920106', '2004', '18867', '20041223', '20041222', '', 'Pegawai', 'Klinik Kita', '811199', 245000, 245000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18868, '57920024', '2004', '18868', '20041223', '20041222', '', 'Pegawai', 'drg Aniek', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18869, '5540008', '2004', '18869', '20041223', '20041218', 'Alexandra', 'Isteri', 'KliniTiara', '811199', 48000, 480000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18870, '63000711', '2004', '18870', '20041223', '20041221', 'Haneti', 'Isteri', 'RS MMC', '811199', 170100, 170100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18871, '70970480', '2005', '18871', '20041223', '20041217', '', 'Anak I', 'dr Darlan', '811199', 286200, 286200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18872, '77042155', '2004', '18872', '20041223', '20041221', '', 'Pegawai', 'dr Hediati', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18873, '70031507', '2004', '18873', '20041223', '20041222', '', 'Pegawai', 'RS Saint Carolus', '811199', 190000, 142800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18874, '66920064', '2004', '18874', '20041223', '20041220', 'Sherliana', 'Isteri', 'drg Stefanus', '811199', 260000, 260000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18875, '76990604', '2004', '18875', '20041223', '20041222', '', 'Pegawai', 'dr Ira Indriasari', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18876, '67970470', '2004', '18876', '20041223', '20041220', '', 'Pegawai', 'dr Sandra', '811199', 191200, 191200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18877, '65920048', '2004', '18877', '20041223', '20041220', '', 'Pegawai', 'dr Sariningsih', '811199', 412800, 412800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18878, '74021263', '2004', '18878', '20041223', '20041220', '', 'Pegawai', 'Klinik Medika', '811199', 51000, 51000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18879, '73021143', '2004', '18879', '20041223', '20041218', '', 'Isteri', 'RS Bunda', '811199', 315200, 315200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18880, '16801896', '2004', '18880', '20041223', '20041221', '', 'Anak I', 'Klinik Bina Medika', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18881, '71950212', '2004', '18881', '20041223', '20041219', '', 'Pegawai', 'RS Dharma Nugraha', '811199', 37500, 37500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18882, '71950212', '2005', '18882', '20041223', '20041219', '', 'Pegawai', 'Aptk Dharma Nugraha', '811199', 209000, 209000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18883, '76960435', '2005', '18883', '20041223', '20041210', '', 'Isteri', 'RS Siloam', '811199', 433258, 433258, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18884, '00030010', '2004', '18884', '20041223', '20041218', '', 'Pegawai', 'Prore Vital', '811199', 3515550, 3515550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18885, '16801865', '2004', '18885', '20041223', '20041208', '', 'Anak I', 'RS Hermina', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18886, '61930122', '2004', '18886', '20041223', '20041218', '', 'Anak I', 'RS Medika', '811199', 601050, 601050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18887, '65930143', '2004', '18887', '20041228', '20041124', '', 'Pegawai', 'dr Primayanti', '811199', 450000, 450000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18888, '66920026', '2004', '18888', '20041228', '20041222', '', 'Pegawai', 'dr Moerdiarto', '811199', 222900, 222900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18889, '66980545', '2004', '18889', '20041228', '20041208', 'Rika Waisulkarni', 'Isteri', 'dr Suharyanti', '811199', 1698500, 1698500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18890, '72099654', '2004', '18890', '20041228', '20041222', '', 'Pegawai', 'JMC', '811199', 69000, 41100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18891, '68960412', '2005', '18891', '20050103', '20041210', 'Lily April Juliana Simanjuntak', 'Isteri', 'Klinik Satiti', '811199', 641500, 641500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18892, '76960435', '2005', '18892', '20041228', '20041215', '', 'Isteri', 'RS Siloam', '811199', 535388, 535388, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18893, '65920077', '2004', '18893', '20041228', '20041222', '', 'Pegawai', 'Klinik Poris', '811199', 41000, 41000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18894, '60930108', '2004', '18894', '20041228', '20041224', '', 'Pegawai', 'Dental Art', '811199', 1400000, 1400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18895, '61000731', '2004', '18895', '20041228', '20041223', 'Sri Windarti', 'Isteri', 'Kimia Farma', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18896, '73950170', '2004', '18896', '20041228', '20041227', '', 'Pegawai', 'drg Rita', '811199', 362000, 362000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18897, '75980563', '2005', '18897', '20041228', '20041215', '', 'Anak I', 'RS Hermina', '811199', 281000, 281000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18898, '00030009', '2005', '18898', '20050114', '20041227', '', 'Pegawai', 'RS Graha Medika', '811199', 1468000, 1468000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18899, '69960396', '2004', '18899', '20041228', '20041227', '', 'Pegawai', 'RS Puri Medika', '811199', 505000, 505000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18900, '79030001', '2004', '18900', '20041228', '20041227', '', 'Pegawai', 'aptk Basmar', '811199', 305000, 305000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18901, '78021416', '2004', '18901', '20041228', '20041227', '', 'Pegawai', 'drg Dian', '811199', 950000, 950000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18902, '78031489', '2004', '18902', '20041228', '20041220', '', 'Pegawai', 'drg Ratna', '811199', 950000, 950000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18903, '73000773', '2004', '18903', '20041228', '20041221', '', 'Pegawai', 'RS Omni Medical', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18904, '76970457', '2004', '18904', '20041228', '20041227', '', 'Pegawai', 'drg Setiawan', '811199', 370000, 370000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18905, '68920057', '2004', '18905', '20041228', '20041223', '', 'Anak I', 'RS Puri Cinere', '811199', 303500, 239800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18906, '61920045', '2004', '18906', '20041228', '20041221', 'Sutirma J.Rosalina', 'Isteri', 'RS Tumbuh Kembang', '811199', 143000, 143000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18907, '77011033', '2004', '18907', '20041228', '20041223', '', 'Pegawai', 'dr Albert', '811199', 178400, 104450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18908, '62920044', '2004', '18908', '20041228', '20041224', '', 'Isteri', 'Rs Mitra Int,l', '811199', 543120, 543120, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18909, '66920043', '2005', '18909', '20041228', '20041223', 'Muhammad Aiman', 'Anak I', 'Denta Medika', '811199', 380000, 380000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18910, '64970465', '2004', '18910', '20041228', '20041228', '', 'Pegawai', 'JMC', '811199', 177100, 177100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18911, '72950364', '2004', '18911', '20041228', '20041227', '', 'Pegawai', 'RS Tria Dipa', '811199', 190500, 190500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18912, '52030005', '2004', '18912', '20041228', '20041224', '', 'Isteri', 'dr Indrawati', '811199', 151505, 151505, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18913, '79021076', '2004', '18913', '20041228', '20041227', '', 'Pegawai', 'RS Medistra', '811199', 715000, 715000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18914, '68920053', '2004', '18914', '20041228', '20041226', 'Hafizh Insan A', 'Anak I', 'RS Medika', '811199', 58000, 58000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18915, '72000707', '2005', '18915', '20041228', '20041224', '', 'Anak I', 'dr Endang', '811199', 109800, 109800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18916, '68000752', '2004', '18916', '20041228', '20041227', 'Harits Sudarsono M', 'Anak I', 'RS Dewi Sri', '811199', 151978, 151978, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18917, '65940151', '2004', '18917', '20041228', '20041223', '', 'Pegawai', 'drg Sani Marianti', '811199', 671750, 671750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18918, '65970482', '2004', '18918', '20041228', '20041223', '', 'Pegawai', 'Permadika', '811199', 125700, 125700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18919, '61930122', '2004', '18919', '20041228', '19441222', '', 'Pegawai', 'RS Medika', '811199', 219500, 219500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18920, '67950193', '2004', '18920', '20041228', '20041220', '', 'Pegawai', 'Aptk Basmar', '811199', 203800, 203800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18921, '66000734', '2005', '18921', '20041228', '20041221', '', 'Anak I', 'RS Puri Cinere', '811199', 167500, 167500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18922, '66000734', '2005', '18922', '20041228', '20041223', '', 'Anak I', 'dr H Aman', '811199', 557000, 557000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18923, '69021047', '2004', '18923', '20041228', '20041223', '', 'Anak I', 'RS Siaga Raya', '811199', 446400, 446400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18924, '62920017', '2004', '18924', '20041228', '20041220', '', 'Pegawai', 'dr Agung', '811199', 390000, 390000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18925, '78031478', '2004', '18925', '20041228', '20041223', '', 'Pegawai', 'Klinik Nirmala', '811199', 385000, 385000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18926, '73000708', '2005', '18926', '20041228', '20041221', '', 'Anak I', 'RS Puri Cinere', '811199', 389900, 389900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18927, '63950202', '2004', '18927', '20041228', '20041222', 'Habapusilah', 'Isteri', 'Klinik Syarif', '811199', 461600, 461600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18928, '68960388', '2005', '18928', '20041228', '20041224', '', 'Anak I', 'dr Retno', '811199', 375000, 375000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18929, '71011018', '2004', '18929', '20041228', '20041222', '', 'Isteri', 'dr M Kukuh', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18930, '74011037', '2004', '18930', '20041228', '20041220', '', 'Pegawai', 'JMC', '811199', 141800, 141800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18931, '65920033', '2004', '18931', '20041228', '20041228', 'Eti Karyati', 'Isteri', 'dr Azwir Z', '811199', 486800, 486800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18932, '69960382', '2004', '18932', '20041228', '20041214', 'Dessy Triastuti', 'Isteri', 'Prima Medka', '811199', 339000, 339000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18933, '79042170', '2004', '18933', '20041228', '20041223', '', 'Pegawai', 'RS Aini', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18934, '57910014', '2004', '18934', '20041228', '20041222', 'Arief Rahman', 'Anak II', 'dr Yacob', '811199', 78000, 78000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18935, '65960399', '2004', '18935', '20041228', '20041222', 'Mariam', 'Isteri', 'drg Hasnidar', '811199', 212300, 212300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18936, '75021078', '2004', '18936', '20041228', '20041216', '', 'Pegawai', 'BKR MKGR', '811199', 290000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18937, '69000669', '2004', '18937', '20041228', '20041220', '', 'Anak I', 'Klinik Husada', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18938, '70010898', '2004', '18938', '20041228', '20041222', 'Anindya F.', 'Anak I', 'RS Permata Cibubur', '811199', 148500, 148500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18939, '68970466', '2004', '18939', '20041228', '20041223', '', 'Pegawai', 'dr Chambali', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18940, '75020004', '2004', '18940', '20050103', '20041224', '', 'Isteri', 'dr Hartantyo', '811199', 149200, 149200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18941, '76030008', '2004', '18941', '20050103', '20041224', '', 'Isteri', 'dr Hartono', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18942, '55021244', '2004', '18942', '20050103', '20041228', '', 'Pegawai', 'RS Haji jakarta', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18943, '60910007', '2004', '18943', '20050103', '20041228', '', 'Pegawai', 'dr Erda', '811199', 537500, 537500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18944, '71960437', '2005', '18944', '20050103', '20041227', 'Nadya Agustina', 'Anak I', 'RSIA Permata', '811199', 720900, 720900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18945, '49960404', '2004', '18945', '20050103', '20041228', 'Yasser', 'Anak II', 'RS Int,l Bintaro', '811199', 1186800, 1085878, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18946, '67950203', '2005', '18946', '20050103', '20041228', '', 'Pegawai', 'Klinik IAIN', '811199', 743400, 743400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18947, '60930108', '2004', '18947', '20050103', '20041228', '', 'Pegawai', 'Dental Art', '811199', 850000, 826100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18948, '65930147', '2005', '18948', '20050103', '20041228', '', 'Anak I', 'RS Harum', '811199', 261000, 261000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18949, '72099654', '2005', '18949', '20050103', '20041222', '', 'Anak I', 'Apoteka Aji Waras', '811199', 379400, 379400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18950, '74021101', '2004', '18950', '20050103', '20041227', '', 'Isteri', 'RS Bunda', '811199', 148500, 148500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18951, '72950223', '2004', '18951', '20050103', '20041227', '', 'Anak I', 'Sarana Medika', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18952, '78042328', '2004', '18952', '20050103', '20041228', '', 'Pegawai', 'RS Mitra', '811199', 162500, 162500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18953, '66950220', '2004', '18953', '20050103', '20041227', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18954, '66920074', '2004', '18954', '20050103', '20041211', '', 'Pegawai', 'RSPI', '811199', 2587087, 2147308, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18955, '72950345', '2004', '18955', '20050103', '20041221', '', 'Pegawai', 'Dr. Erna', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18956, '50010867', '2004', '18956', '20050103', '20041213', '', 'Pegawai', 'Dr. Alfi', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18957, '76021052', '2004', '18957', '20050103', '20041213', '', 'Pegawai', 'Rs. Hermina', '811199', 311500, 311500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18958, '77000672', '2005', '18958', '20050103', '20041230', '', 'Pegawai', 'RS. Siloam', '811199', 315000, 315000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18959, '71930148', '2004', '18959', '20050103', '20041230', '', 'Pegawai', 'Dr. Ricky', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18960, '73032086', '2004', '18960', '20050103', '20041230', '', 'Pegawai', 'drg Wahyu', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18961, '72950363', '2005', '18961', '20050103', '20041230', '', 'Pegawai', 'dr. Retno', '811199', 320000, 320000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18962, '65940151', '2004', '18962', '20050103', '20041213', '', 'Pegawai', 'drg Sani Marianti', '811199', 315000, 315000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18963, '66920067', '2004', '18963', '20050103', '20041119', 'Deny Waty Djaafar', 'Isteri', 'Dr. Niswita', '811199', 540400, 327900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18964, '78031478', '2004', '18964', '20050103', '20041230', '', 'Pegawai', 'Klinik Nirmala', '811199', 450000, 450000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18965, '69960396', '2004', '18965', '20050103', '20041229', '', 'Pegawai', 'RS Puri Medika', '811199', 514000, 514000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18966, '73950170', '2004', '18966', '20050103', '20041230', '', 'Pegawai', 'drg Rita', '811199', 92000, 92000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18967, '76960435', '2005', '18967', '20040103', '20041221', '', 'Isteri', 'RS Siloam', '811199', 473405, 473405, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18968, '77032118', '2004', '18968', '20050103', '20041217', '', 'Pegawai', 'Klinik Kezia', '811199', 51000, 51000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18969, '72950363', '2005', '18969', '20050103', '20041124', '', 'Anak I', 'RS Medistra', '811199', 151000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18970, '60920075', '2005', '18970', '20050103', '20041227', 'Harmien Citra Gayatri', 'Anak II', 'dr Tadjudin T', '811199', 721000, 721000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18971, '73042189', '2005', '18971', '20050103', '20041227', '', 'Isteri', 'dr Santoso', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18972, '66920106', '2004', '18972', '20050103', '20041228', 'Fitriani', 'Isteri', 'Klinik Sejahtera', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18973, '69940161', '2004', '18973', '20050103', '20041228', 'Idah Maimun Hafidah', 'Isteri', 'RS MMC', '811199', 1230200, 430200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18974, '77011016', '2004', '18974', '20050103', '20041223', '', 'Pegawai', 'drg Dian', '811199', 460000, 460000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18975, '74011037', '2004', '18975', '20050103', '20041228', '', 'Isteri', 'dr Subur', '811199', 118300, 118300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18976, '70960377', '2004', '18976', '20050103', '20041224', '', 'Pegawai', 'RS Medistra', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18977, '69000687', '2004', '18977', '20050104', '20041227', '', 'Pegawai', 'RSPI', '811199', 352000, 352000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18978, '77000672', '2005', '18978', '20050103', '20041223', '', 'Pegawai', 'RS An Nisa', '811199', 71500, 71500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18979, '17501895', '2004', '18979', '20050103', '20041218', '', 'Anak I', 'Aptk Mas Naga', '811199', 280900, 280900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18980, '17501981', '2004', '18980', '20050103', '20041229', '', 'Pegawai', 'RS Saint Carolus', '811199', 103400, 103400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18981, '65950196', '2005', '18981', '20050103', '20041229', '', 'Pegawai', 'RSB YPK', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18982, '72950223', '2004', '18982', '20050103', '20041231', '', 'Anak I', 'dr Ratih', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18983, '65980564', '2004', '18983', '20050103', '20041227', 'Sekar P. L', 'Anak III', 'RS Hermina', '811199', 174524, 174524, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18984, '60032087', '2005', '18984', '20050103', '20041220', '', 'Anak I', 'RS Bunda', '811199', 510000, 510000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18985, '67950357', '2005', '18985', '20050103', '20050102', 'Fariz Rayhan Siregar', 'Anak I', 'dr Bambang', '811199', 182000, 182000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18986, '74950226', '2005', '18986', '20050103', '20041231', 'Syifa Ghallyah', 'Anak I', 'RS Husada', '811199', 320600, 320600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18987, '55021244', '2004', '18987', '20050103', '20041223', '', 'Pegawai', 'dr Sahab', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18988, '68920053', '2004', '18988', '20050103', '20041228', 'Syahida Nurrahmah', 'Anak II', 'dr Bra Langi', '811199', 150700, 150700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18989, '67920089', '2005', '18989', '20050103', '20041218', 'Fawwaz Aulia Fadhil', 'Anak I', 'Rs MMC', '811199', 405000, 405000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18990, '16801865', '2005', '18990', '20050103', '20041229', '', 'Anak I', 'dr Rani', '811199', 410400, 410400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18991, '66970473', '2004', '18991', '20050103', '20041229', '', 'Pegawai', 'Yay Bina Sehat', '811199', 148000, 148000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18992, '65970482', '2004', '18992', '20050103', '20041230', '', 'Pegawai', 'Pertamedika', '811199', 121000, 121000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18993, '78021416', '2004', '18993', '20041228', '20041224', '', 'Pegawai', 'drg Dian', '811199', 399000, 399000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18994, '65042313', '2005', '18994', '20050103', '20041227', '', 'Anak I', 'RS Tugu Ibu', '811199', 112000, 112000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18995, '50950207', '2004', '18995', '20050107', '20041229', '', 'Pegawai', 'Klinik Sejati', '811199', 910000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18996, '70950370', '2004', '18996', '20050107', '20041223', '', 'Pegawai', 'dr M Badar', '811199', 249500, 249500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18997, '72980510', '2005', '18997', '20050107', '20050104', 'M. Nur Muhriza', 'Anak I', 'dr Rahmat', '811199', 189674, 189674, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18998, '73042189', '2005', '18998', '20050107', '20050101', '', 'Isteri', 'dr Lilien', '811199', 350000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (18999, '70920034', '2005', '18999', '20050107', '20050102', '', 'Pegawai', 'dr Syarif', '811199', 53000, 53000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19000, '54099650', '2004', '19000', '20050107', '20041230', '', 'Pegawai', 'dr Nunung', '811199', 1700500, 1700500, NULL, NULL, 'A', 'medical')





/* Data for the `MedicalRestitusiDetail` table  (Records 19001 - 19500) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19001, '66970473', '2005', '19001', '20050107', '20050103', '', 'Anak I', 'RS Gandaria', '811199', 158500, 158500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19002, '62920060', '2005', '19002', '20050107', '20050105', '', 'Pegawai', 'RS Medistra', '811199', 368700, 368700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19003, '71960403', '2004', '19003', '20050107', '20041227', '', 'Isteri', 'dr Januar', '811199', 328400, 328400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19004, '67940157', '2004', '19004', '20050107', '20041229', '', 'Anak I', 'RS Medistra', '811199', 1651100, 452600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19005, '67940157', '2005', '19005', '20050107', '20041229', '', 'Anak II', 'RS Omni Batavia', '811199', 1198500, 1198500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19006, '60930108', '2005', '19006', '20050107', '20050104', '', 'Pegawai', 'Dental Art', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19007, '77011033', '2005', '19007', '20050107', '20050105', '', 'Pegawai', 'RSCM', '811199', 390000, 390000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19008, '70940155', '2004', '19008', '20050107', '20041231', 'Absari Yuniarti', 'Isteri', 'RS Hermina', '811199', 412150, 412150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19009, '61930128', '2005', '19009', '20050107', '20050103', 'A. Retno M', 'Isteri', 'RSPI', '811199', 598801, 598801, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19010, '68960412', '2005', '19010', '20050107', '20050105', 'Lily April Juliana Simanjuntak', 'Isteri', 'dr Liliyani', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19011, '70031507', '2005', '19011', '20050107', '20050104', '', 'Isteri', 'RS Dharma Bhakti', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19012, '68930133', '2005', '19012', '20050107', '20050102', '', 'Anak I', 'dr Benny', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19013, '70970480', '2005', '19013', '20050107', '20050103', '', 'Anak I', 'RS MMC', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19014, '16801896', '2004', '19014', '20050107', '20041224', '', 'Anak I', 'RS Pluit', '811199', 107000, 107000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19015, '77032118', '2004', '19015', '20050107', '20041231', '', 'Pegawai', 'drg Nila Utama', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19016, '67950193', '2005', '19016', '20050107', '20050106', '', 'Pegawai', 'Lab Prodia', '811199', 157000, 157000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19017, '60980529', '2005', '19017', '20050107', '20050104', 'Ani Novia', 'Anak I', 'RS Medistra', '811199', 369300, 369300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19018, '66920029', '2005', '19018', '20050107', '20050104', '', 'Pegawai', 'Klinik Graha Jaya', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19019, '62950197', '2005', '19019', '20050107', '20040927', 'M.Oktavian Hutama', 'Anak I', 'dr Amalia', '811199', 499400, 218900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19020, '65920048', '2004', '19020', '20050107', '20041230', '', 'Pegawai', 'RSPP', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19021, '65920048', '2005', '19021', '20050107', '20050106', '', 'Isteri', 'RSPP', '811199', 251300, 128500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19022, '79042172', '2004', '19022', '20050107', '20041223', '', 'Isteri', 'dr Suharyono', '811199', 169000, 169000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19023, '73960391', '2004', '19023', '20050107', '20041211', 'Rita Aryana', 'Isteri', 'RS Hermina', '811199', 173000, 173000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19024, '67950172', '2004', '19024', '20050107', '20041208', '', 'Pegawai', 'RS Permata Cuibubur', '811199', 148000, 148000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19025, '67950172', '2005', '19025', '20050107', '20041222', '', 'Anak I', 'RS Permata Cibubur', '811199', 328900, 328900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19026, '79030001', '2004', '19026', '20050107', '20041229', '', 'Pegawai', 'drg Kusnanto', '811199', 1095000, 1095000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19027, '78021416', '2005', '19027', '20050107', '20050105', '', 'Pegawai', 'drg Dian', '811199', 124800, 124800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19028, '17700818', '2005', '19028', '20050107', '20050103', '', 'Pegawai', 'dr David Agus', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19029, '78031478', '2005', '19029', '20050107', '20050104', '', 'Pegawai', 'Klinik Nirmala', '811199', 156000, 156000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19030, '76021234', '2005', '19030', '20050107', '20041231', '', 'Pegawai', 'dr Abidallah', '811199', 65700, 65700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19031, '73010870', '2004', '19031', '20050107', '20041229', '', 'Pegawai', 'drg Dian', '811199', 1935400, 1927400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19032, '68000709', '2005', '19032', '20050107', '20041223', '', 'Anak I', 'RS Hermina', '811199', 355600, 355600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19033, '67930127', '2004', '19033', '20050107', '20041229', 'Kanti Esti Rahayu', 'Isteri', 'dr H Icchramsyah', '811199', 2509225, 2509225, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19034, '72000772', '2004', '19034', '20050107', '20041230', '', 'Isteri', 'Klinik Ciracas', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19035, '72000772', '2005', '19035', '20050107', '20050104', '', 'Isteri', 'RS Harapan Bunda', '811199', 97500, 97500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19036, '62920017', '2005', '19036', '20050107', '20050102', '', 'Pegawai', 'RS Tria Dipa', '811199', 860050, 860050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19037, '71950200', '2005', '19037', '20050107', '20050104', '', 'Anak I', 'Rs Medistra', '811199', 1230200, 1230200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19038, '68960388', '2005', '19038', '20050107', '20050103', 'Indriani', 'Isteri', 'RSB Asih', '811199', 354500, 354500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19039, '68960388', '2005', '19039', '20050107', '20050107', '', 'Anak I', 'RS Medistra', '811199', 526000, 526000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19040, '76980517', '2005', '19040', '20050107', '20041227', '', 'Isteri', 'RS Puri Cinere', '811199', 249500, 249500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19041, '69940161', '2004', '19041', '20050107', '20041228', 'Idah Maimun Hafidah', 'Isteri', 'RS MMC', '811199', 800000, 800000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19042, '74950226', '2005', '19042', '20050107', '20050104', '', 'Pegawai', 'Klinik Panglima', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19043, '69960401', '2005', '19043', '20050110', '20050103', 'Naufal Rizqulloh', 'Anak II', 'RS Medika Galaxi', '811199', 265000, 265000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19044, '74950356', '2005', '19044', '20050110', '20050103', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 318800, 318800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19045, '72980510', '2005', '19045', '20050110', '20050103', 'M. Nur Muhriza', 'Anak I', 'RS Int,l Bintaro', '811199', 457050, 457050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19046, '70950231', '2005', '19046', '20050107', '20050103', '', 'Pegawai', 'dr Reza', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19047, '69960413', '2004', '19047', '20050110', '20041224', '', 'Pegawai', 'RS Muhammadiyah', '811199', 68300, 68300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19048, '77011016', '2004', '19048', '20050110', '20041229', '', 'Pegawai', 'RS Dharmais', '811199', 302000, 302000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19049, '78021416', '2005', '19049', '20050110', '20050103', '', 'Pegawai', 'drg Dian', '811199', 550000, 550000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19050, '66980545', '2004', '19050', '20050110', '20041229', 'Rika Waisulkarni', 'Isteri', 'dr Suharyanti', '811199', 144300, 144300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19051, '66980545', '2005', '19051', '20050110', '20041229', '', 'Pegawai', 'Aptk Endeh', '811199', 475000, 475000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19052, '79010904', '2005', '19052', '20050110', '20050104', '', 'Pegawai', 'RS Harum', '811199', 454350, 454350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19053, '74970450', '2005', '19053', '20050110', '20050103', '', 'Pegawai', 'Klinik Yunda', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19054, '65960408', '2005', '19054', '20050110', '20041220', '', 'Pegawai', 'RS Medista', '811199', 224800, 224800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19055, '70950214', '2004', '19055', '20050110', '20041223', '', 'Pegawai', 'Klinik Karina', '811199', 214800, 214800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19056, '70950214', '2005', '19056', '20050110', '20050102', 'Pratiwi Hadi', 'Isteri', 'Klinik Karina', '811199', 88000, 88000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19057, '60032087', '2005', '19057', '20050110', '20041229', '', 'Anak I', 'dr Darlan', '811199', 221300, 221300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19058, '62920060', '2005', '19058', '20050110', '20050104', 'Eni Erlina', 'Isteri', 'Ladokgi', '811199', 385000, 385000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19059, '67970469', '2005', '19059', '20050110', '20041226', 'Suharti', 'Isteri', 'Klinik Limus', '811199', 346000, 346000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19060, '76042270', '2004', '19060', '20050110', '20041223', '', 'Pegawai', 'RS Mata YAP', '811199', 92650, 92650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19061, '68950221', '2005', '19061', '20050110', '20050101', 'Nurseha', 'Isteri', 'RS Tria Dipa', '811199', 572500, 572500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19062, '77042155', '2005', '19062', '20050110', '20050101', '', 'Pegawai', 'dr Subagyo', '811199', 128000, 128000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19063, '72099654', '2005', '19063', '20050110', '20050103', '', 'Anak I', 'Aptk Aji Waras', '811199', 155300, 155300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19064, '79031761', '2004', '19064', '20050110', '20041230', '', 'Pegawai', 'RS Medistra', '811199', 138200, 138200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19065, '79031761', '2005', '19065', '20050110', '20050103', '', 'Pegawai', 'RS Medista', '811199', 39200, 39200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19066, '69980544', '2005', '19066', '20050110', '20050105', 'Lis Lismiana', 'Isteri', 'dr Funny', '811199', 719600, 719600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19067, '72950223', '2005', '19067', '20050110', '20050305', '', 'Anak I', 'drg Hartono', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19068, '70000961', '2005', '19068', '20050110', '20041228', '', 'Isteri', 'RS Bunda', '811199', 374000, 374000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19069, '67960411', '2004', '19069', '20050110', '20041224', '', 'Anak III', 'RB Citra Ananda', '811199', 193000, 193000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19070, '71011018', '2004', '19070', '20050110', '20041230', '', 'Anak I', 'Yay Yuda Sakti', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19071, '70950204', '2005', '19071', '20050110', '20050103', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'dr Toniman', '811199', 258000, 258000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19072, '66920064', '2005', '19072', '20050110', '20041230', 'Sherliana', 'Isteri', 'drg Stefanus', '811199', 550000, 550000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19073, '58000807', '2004', '19073', '20050110', '20041231', 'Fitria', 'Anak I', 'dr Rita Suryati', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19074, '58000807', '2005', '19074', '20050110', '20050106', '', 'Anak III', 'dr Rita Suryati', '811199', 207900, 207900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19075, '68920057', '2005', '19075', '20050110', '20050104', '', 'Anak I', 'RS Puri Cinere', '811199', 230400, 230400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19076, '60950353', '2005', '19076', '20050110', '20050104', '', 'Anak I', 'dr Siti Rozanah', '811199', 327500, 327500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19077, '74970450', '2005', '19077', '20050110', '20050105', '', 'Pegawai', 'Klinik Yunda', '811199', 33000, 33000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19078, '70970480', '2005', '19078', '20050110', '20050107', '', 'Anak I', 'RS YPK', '811199', 375500, 375500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19079, '66990584', '2005', '19079', '20050110', '20040108', 'Andi Firyal', 'Anak II', 'RS Azra', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19080, '57930124', '2005', '19080', '20050110', '20050108', '', 'Pegawai', 'dr Pudji Wiyanti', '811199', 418500, 418500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19081, '77011033', '2005', '19081', '20050110', '20050107', '', 'Pegawai', 'RSCM', '811199', 1443500, 1443500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19082, '69960401', '2005', '19082', '20050110', '20050104', 'Elly S. Abdurachman', 'Isteri', 'RS Hermina', '811199', 158500, 158500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19083, '66950220', '2005', '19083', '20050110', '20050106', '', 'Pegawai', 'dr Dean', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19084, '71960437', '2005', '19084', '20050110', '20050107', 'Rinawati', 'Isteri', 'Devina Medika', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19085, '56920028', '2004', '19085', '20050110', '20041229', '', 'Pegawai', 'Apotek Condet', '811199', 73900, 73900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19086, '63000711', '2005', '19086', '20050110', '20050105', 'Haneti', 'Isteri', 'RS MMC', '811199', 341900, 314900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19087, '62920060', '2005', '19087', '20050110', '20050109', 'Osama Ladn Rayhan', 'Anak I', 'RS Medistra', '811199', 212600, 194780, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19088, '61000731', '2004', '19088', '20050110', '20041227', 'Rio Avicenna Syamil', 'Anak II', 'dr Boed', '811199', 254000, 254000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19089, '61000731', '2005', '19089', '20050110', '20050105', 'Sri Windarti', 'Isteri', 'dr Sofie', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19090, '27400906', '2004', '19090', '20050110', '20041101', '', 'Anak I', 'dr H Zainal', '811199', 347000, 147000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19091, '67960411', '2005', '19091', '20050110', '20050107', 'Endang Kuspringati S', 'Isteri', 'RB Citra Ananda', '811199', 122500, 122500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19092, '74021263', '2004', '19092', '20050110', '20041225', '', 'Pegawai', 'dr Bambang', '811199', 274000, 274000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19093, '74021263', '2005', '19093', '20050110', '20041225', '', 'Anak I', 'dr Bambang', '811199', 148000, 148000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19094, '73021143', '2005', '19094', '20050110', '20050105', '', 'Isteri', 'RS Islam', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19095, '66950355', '2005', '19095', '20050110', '20050109', '', 'Isteri', 'Sam Marie', '811199', 616500, 616500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19096, '57980555', '2004', '19096', '20050110', '20041220', 'Rusmiati', 'Isteri', 'RS Fatmawati', '811199', 221000, 221000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19097, '57980555', '2005', '19097', '20050110', '20050104', 'Rusmiati', 'Isteri', 'dr Sri Adi', '811199', 412000, 412000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19098, '57980555', '2005', '19098', '20050110', '20050106', 'Rusmiati', 'Isteri', 'RS Puri Cinere', '811199', 544300, 544300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19099, '65960408', '2005', '19099', '20050110', '20050108', 'Rosmaini', 'Isteri', 'dr Adi Gunadi', '811199', 740000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19100, '69950162', '2005', '19100', '20050110', '20050108', 'Muhammad Nadhif Judhananto', 'Anak I', 'RSPI', '811199', 319300, 319300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19101, '65960416', '2005', '19101', '20050114', '20050108', '', 'Pegawai', 'drg Jenny', '811199', 1500000, 1500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19102, '74970450', '2005', '19102', '20050114', '20051212', '', 'Pegawai', 'RS Hermina', '811199', 298693, 298693, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19103, '66990584', '2005', '19103', '20050114', '20041218', 'Andi Maysita Areshaska', 'Anak I', 'RS Hermina', '811199', 302005, 302005, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19104, '64960402', '2004', '19104', '20050114', '20041230', '', 'Pegawai', 'Apotik Pondok Indah', '811199', 363400, 137300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19105, '71960398', '2005', '19105', '20050114', '20050108', '', 'Isteri', 'Dr. Daniel', '811199', 166400, 166400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19106, '63970476', '2004', '19106', '20050114', '20041223', '', 'Pegawai', 'drg Abdullah', '811199', 250000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19107, '71980540', '2005', '19107', '20050114', '20050109', 'Indah Kusharyanti', 'Isteri', 'Toko Obat Mutiara', '811199', 375000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19108, '77021429', '2005', '19108', '20050114', '20050110', '', 'Pegawai', 'RS Harapan Bunda', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19109, '75021078', '2005', '19109', '20050114', '20050102', 'Yulia N.', 'Isteri', '', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19110, '60930108', '2005', '19110', '20050114', '20050110', '', 'Pegawai', 'Dental Art', '811199', 2000000, 2000000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19111, '17601989', '2005', '19111', '20050114', '20050108', '', 'Pegawai', 'Apotik Sahabat', '811199', 52600, 52600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19112, '70010882', '2004', '19112', '20050114', '20041221', '', 'Isteri', 'Dr Marjono', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19113, '77032118', '2004', '19113', '20050114', '20041231', '', 'Pegawai', 'Apotik Padma', '811199', 299000, 299000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19114, '63000711', '2005', '19114', '20050114', '20050108', 'Haneti', 'Isteri', 'RS MMC', '811199', 329100, 329100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19115, '60970479', '2004', '19115', '20050114', '20041229', '', 'Pegawai', 'drg Hendrik Irawan', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19116, '71990647', '2005', '19116', '20050114', '20050110', 'Yanti Sinaga', 'Isteri', 'RS Harapan Kita', '811199', 265000, 265000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19117, '77032118', '2005', '19117', '20050114', '20050103', '', 'Pegawai', 'Drg. Sofyani', '811199', 175800, 175800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19118, '68960412', '2005', '19118', '20050114', '20050107', '', 'Anak II', 'Dr Welinton', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19119, '75031490', '2004', '19119', '20050114', '20041227', '', 'Pegawai', 'Dr A Rahman', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19120, '71970456', '2004', '19120', '20050114', '20041221', '', 'Pegawai', 'Apotik Century', '811199', 381300, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19121, '57930146', '2005', '19121', '20050114', '20050110', '', 'Anak I', 'RS Rawamangun', '811199', 206000, 206000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19122, '68950221', '2005', '19122', '20050114', '20050106', '', 'Anak II', 'RS Hermina', '811199', 187570, 187570, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19123, '64950185', '2005', '19123', '20050119', '20050113', '', 'Anak I', 'dr H Karnaen', '811199', 2242250, 2022250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19124, '77021433', '2005', '19124', '20050114', '20040110', '', 'Pegawai', 'dr Suratna', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19125, '62910008', '2005', '19125', '20050114', '20041230', 'Naufal', 'Anak II', 'RSPI & Bintaro', '811199', 1356233, 1356233, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19126, '62910008', '2005', '19126', '20050114', '20050106', 'Naufal', 'Anak II', 'RSPI', '811199', 1163500, 1163500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19127, '70950214', '2005', '19127', '20050114', '20050110', 'Pratiwi Hadi', 'Isteri', 'Apotik Zamzam', '811199', 538200, 538200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19128, '71940159', '2005', '19128', '20050114', '20050108', '', 'Pegawai', 'RSPI', '811199', 867489, 674989, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19129, '67950357', '2005', '19129', '20050114', '20050106', 'Fariz Rayhan Siregar', 'Anak I', 'Dr Bambang', '811199', 688000, 688000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19130, '69950222', '2004', '19130', '20050114', '20041229', '', 'Pegawai', 'Dr Surya', '811199', 1350000, 1350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19131, '17101947', '2005', '19131', '20050114', '20041217', '', 'Anak I', 'Supriyati', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19132, '74031438', '2005', '19132', '20050114', '20050110', '', 'Anak I', 'RS Harapan Kita', '811199', 607000, 607000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19133, '79031761', '2005', '19133', '20050114', '20050111', '', 'Pegawai', 'RS Medistra', '811199', 39200, 39200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19134, '63920047', '2005', '19134', '20050114', '20050105', '', 'Isteri', 'RS Medistra', '811199', 545000, 545000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19135, '73021081', '2005', '19135', '20050114', '20050105', '', 'Pegawai', 'dr H Buddy', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19136, '69000669', '2005', '19136', '20050114', '20050106', '', 'Anak I', 'Klinik Husada', '811199', 199000, 199000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19137, '70950177', '2005', '19137', '20050114', '20050111', 'Wafa Dzulqa zakiyyah', 'Anak II', 'RS Tumbuh Kembang', '811199', 116800, 116800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19138, '57910014', '2005', '19138', '20050114', '20050111', 'Suwarni', 'Isteri', 'dr Yacob', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19139, '77011035', '2005', '19139', '20050114', '20050105', '', 'Pegawai', 'RSAB Harapan Kita', '811199', 79000, 79000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19140, '67920089', '2005', '19140', '20050114', '20050108', '', 'Pegawai', 'RS Duren Tiga', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19141, '68000760', '2005', '19141', '20050114', '20050108', '', 'Pegawai', 'dr Retno', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19142, '72000772', '2005', '19142', '20050114', '20050108', '', 'Anak I', 'RS Harapan Bunda', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19143, '73010870', '2005', '19143', '20050114', '20050110', '', 'Pegawai', 'drg Dian Haerani', '811199', 145900, 145900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19144, '63920052', '2005', '19144', '20050114', '20050104', 'Asti Rizkiana V', 'Isteri', 'RS Permata Cibubur', '811199', 705000, 705000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19145, '78031478', '2005', '19145', '20050114', '20050110', '', 'Pegawai', 'Klinik Nirmala', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19146, '66920026', '2005', '19146', '20050114', '20050111', 'Ngakan Putu Prajna Pratisthita', 'Anak I', 'RS Bintaro', '811199', 325125, 325125, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19147, '66920035', '2005', '19147', '20050114', '20050107', 'Rayyan Attarr Z.A.', 'Anak II', 'RS Inter,l Bintato', '811199', 1146424, 1146424, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19148, '70950231', '2005', '19148', '20050114', '20050104', '', 'Pegawai', 'drg Dian', '811199', 1000000, 1000000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19149, '77011035', '2005', '19149', '20050114', '20050108', '', 'Pegawai', 'dr H Rakun', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19150, '74970450', '2005', '19150', '20050114', '20050110', '', 'Pegawai', 'dr Ridwan', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19151, '58950188', '2005', '19151', '20050114', '20050111', 'Komerahyatun', 'Isteri', 'dr Agung', '811199', 68000, 68000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19152, '76960435', '2005', '19152', '20050114', '20050111', '', 'Isteri', 'RS Siloam', '811199', 310500, 310500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19153, '68950371', '2005', '19153', '20050114', '20050112', '', 'Anak II', 'RS Permata', '811199', 165900, 165900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19154, '70970480', '2005', '19154', '20050114', '20050112', '', 'Anak I', 'dr Suharyono', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19155, '66970463', '2005', '19155', '20050114', '20050112', '', 'Pegawai', 'RS Patria', '811199', 933100, 933100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19156, '71990599', '2005', '19156', '20050114', '20050112', '', 'Pegawai', 'RS Omni', '811199', 312150, 312150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19157, '79030001', '2005', '19157', '20050114', '20050112', '', 'Pegawai', 'drg Kusmanto', '811199', 1000000, 1000000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19158, '78042280', '2004', '19158', '20050110', '20050105', '', 'Pegawai', 'Optik Samudra', '811199', 590000, 590000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19159, '69000692', '2005', '19159', '20050114', '20050110', 'Kartika', 'Anak II', 'RS Mitra Int,l', '811199', 742240, 742240, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19160, '79042172', '2004', '19160', '20050114', '20041214', '', 'Pegawai', 'RS Medistra', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19161, '79042172', '2005', '19161', '20050114', '20050107', '', 'Isteri', 'RS Hermina', '811199', 196000, 196000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19162, '66920063', '2005', '19162', '20050114', '20041227', '', 'Isteri', 'drg C Anggraini', '811199', 497500, 497500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19163, '66920063', '2004', '19163', '20050114', '20041227', '', 'Anak I', 'drg C Angraini', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19164, '65960399', '2005', '19164', '20050114', '20050110', '', 'Anak I', 'RS Hermina', '811199', 182860, 182860, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19165, '63970478', '2005', '19165', '20050114', '20050108', '', 'Pegawai', 'RSB Husada', '811199', 127000, 127000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19166, '16801865', '2005', '19166', '20050114', '20050112', '', 'Anak I', 'dr Rani', '811199', 174700, 174700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19167, '70990648', '2005', '19167', '20050114', '20050113', '', 'Pegawai', 'dr Wiwik', '811199', 111000, 111000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19168, '65930147', '2005', '19168', '20050114', '20050113', 'Kristina Nursanti', 'Isteri', 'RS Harum', '811199', 353500, 353500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19169, '77021067', '2005', '19169', '20050114', '20050111', '', 'Pegawai', 'RS JMC', '811199', 747300, 747300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19170, '17201001', '2005', '19170', '20050114', '20050113', '', 'Anak II', 'RS Puri Cinere', '811199', 161500, 161500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19171, '75021078', '2004', '19171', '20050114', '20041128', '', 'Pegawai', 'BKR MKGR', '811199', 290000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19172, '5540008', '2005', '19172', '20050114', '20050111', '', 'Pegawai', 'JT Dental Care', '811199', 1350000, 1350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19173, '62920017', '2005', '19173', '20050114', '20050107', '', 'Anak I', 'dr Welinton', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19174, '50010867', '2004', '19174', '20050114', '20041228', '', 'Pegawai', 'dr Syamsu', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19175, '75031490', '2005', '19175', '20050119', '20050114', '', 'Pegawai', 'drg Lidya', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19176, '71980540', '2005', '19176', '20050119', '20050116', 'Rasyid Indy Nur Sasongko', 'Anak I', 'dr H Buddy', '811199', 323100, 323100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19177, '73000773', '2005', '19177', '20050119', '20050113', '', 'Pegawai', 'Rs Omni', '811199', 88700, 88700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19178, '74990649', '2005', '19178', '20050119', '20050109', '', 'Pegawai', 'dr Rudy', '811199', 167000, 167000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19179, '71960398', '2005', '19179', '20050119', '20050115', '', 'Isteri', 'RS Harapan Kita', '811199', 255500, 255500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19180, '76010869', '2005', '19180', '20050119', '20050112', '', 'Isteri', 'RS Bunda', '811199', 306000, 306000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19181, '73021143', '2005', '19181', '20050119', '20050113', '', 'Isteri', 'RS Islam', '811199', 631800, 631800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19182, '72980510', '2005', '19182', '20050119', '20050115', 'M. Nur Muhriza', 'Anak I', 'RS MH Thamrin', '811199', 233200, 233200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19183, '68960388', '2005', '19183', '20050119', '20050115', '', 'Anak I', 'dr Retno', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19184, '72031488', '2005', '19184', '20050119', '20050109', '', 'Pegawai', 'dr Bambang', '811199', 343300, 343300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19185, '68930133', '2005', '19185', '20050119', '20050115', '', 'Pegawai', 'dr Benny', '811199', 349000, 349000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19186, '60930108', '2005', '19186', '20050119', '20050117', '', 'Pegawai', 'Dental Art', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19187, '75010905', '2005', '19187', '20050119', '20050115', '', 'Pegawai', 'dr Valentine', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19188, '70010898', '2005', '19188', '20050119', '20050111', 'Anindya F.', 'Anak I', 'RS Permata Cibubur', '811199', 140800, 140800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19189, '76021048', '2004', '19189', '20050114', '20041227', '', 'Pegawai', 'Bona Indah Medikal', '811199', 1856000, 1856000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19190, '73042189', '2005', '19190', '20050114', '20050101', '', 'Isteri', 'dr Lilien', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19191, '78021087', '2005', '19191', '20050119', '20050113', '', 'Pegawai', 'RS William Booth', '811199', 143700, 143700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19192, '73042189', '2005', '19192', '20050119', '20050115', '', 'Anak I', 'dr Bambang', '811199', 182700, 182700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19193, '68960412', '2005', '19193', '20050119', '20050118', 'Michelle Shan C.', 'Anak I', 'Klinik Pela', '811199', 515000, 515000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19194, '70940155', '2005', '19194', '20050119', '20050117', 'Absari Yuniarti', 'Isteri', 'RS Hermina', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19195, '71011018', '2005', '19195', '20050119', '20050118', '', 'Anak I', 'Klinik Rifafa', '811199', 157000, 157000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19196, '70990586', '2004', '19196', '20050114', '20041230', '', 'Anak I', 'dr Nenie', '811199', 112500, 110984, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19197, '70990586', '2005', '19197', '20050119', '20041230', '', 'Isteri', 'dr Nenie', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19198, '67960411', '2005', '19198', '20050119', '20050118', 'Achmad Rizki Noversi', 'Anak I', 'RS harapan Bunda', '811199', 395000, 395000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19199, '63950202', '2005', '19199', '20050119', '20050113', 'Habapusilah', 'Isteri', 'dr Erni', '811199', 234700, 234700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19200, '63920052', '2005', '19200', '20050119', '20050113', '', 'Anak I', 'RS Mitra Int,l', '811199', 377070, 377070, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19201, '61970468', '2005', '19201', '20050119', '20050111', '', 'Pegawai', 'dr Aris', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19202, '67950168', '2005', '19202', '20050119', '20051226', '', 'Pegawai', 'RS Rawa Lumbu', '811199', 54000, 54000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19203, '57930124', '2005', '19203', '20050119', '20050117', '', 'Pegawai', 'drg Lucas Kurnia', '811199', 1015500, 1015500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19204, '71000750', '2005', '19204', '20050119', '20050115', '', 'Pegawai', 'Klinik Ritz & Estetika', '811199', 650000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19205, '66920064', '2005', '19205', '20050119', '20050113', 'Sherliana', 'Isteri', 'drg Stefanus', '811199', 680500, 680500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19206, '78021046', '2005', '19206', '20050119', '20050114', '', 'Pegawai', 'Aptk Auliya', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19207, '80021417', '2005', '19207', '20050119', '20050113', '', 'Pegawai', 'dr Liliyanti', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19208, '17700818', '2005', '19208', '20050119', '20050115', '', 'Pegawai', 'dr David Agus', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19209, '65940151', '2005', '19209', '20050119', '20050111', '', 'Pegawai', 'drg Santi Marianti', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19210, '66000735', '2005', '19210', '20050119', '20050115', '', 'Anak I', 'dr Soejipto', '811199', 654300, 654300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19211, '63970483', '2005', '19211', '20050119', '20050117', '', 'Pegawai', 'RS PMI', '811199', 1242400, 1242400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19212, '77042155', '2005', '19212', '20050119', '20050113', '', 'Pegawai', 'dr Ria', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19213, '59920104', '2005', '19213', '20050119', '20050115', 'Diah Komalasari', 'Isteri', 'dr Gunawan', '811199', 99500, 99500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19214, '67950193', '2005', '19214', '20050119', '20050110', '', 'Pegawai', 'dr Mala', '811199', 89900, 89900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19215, '61920069', '2005', '19215', '20050119', '20050106', 'Retno Murti Laila', 'Isteri', '', '811199', 515250, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19216, '73042189', '2005', '19216', '20050119', '20050115', '', 'Isteri', 'dr Lilien', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19217, '69950162', '2005', '19217', '20050119', '20050115', 'Muhammad Nadhif Judhananto', 'Anak I', 'dr Ishak', '811199', 156400, 156400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19218, '67940157', '2005', '19218', '20050119', '20050112', '', 'Anak I', 'Klinik Anankku', '811199', 643500, 643500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19219, '69021047', '2005', '19219', '20050119', '20050114', '', 'Pegawai', 'dr Komariah', '811199', 397000, 397000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19220, '71042200', '2005', '19220', '20050119', '20050114', '', 'Isteri', 'RS Depok', '811199', 188000, 188000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19221, '17501981', '2005', '19221', '20050119', '20050113', '', 'Pegawai', 'dr Hetty', '811199', 158500, 158500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19222, '66990584', '2005', '19222', '20050119', '20050114', 'Andi Ernawati SE', 'Isteri', 'RS Hermina', '811199', 500900, 500900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19223, '71950367', '2005', '19223', '20050119', '20050114', '', 'Anak II', 'dr Aris', '811199', 544600, 544600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19224, '68950221', '2005', '19224', '20050119', '20050117', '', 'Pegawai', 'drg Sri Suliswati', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19225, '68920053', '2005', '19225', '20050119', '20050107', 'Janti Susanti', 'Isteri', 'RS Hermina', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19226, '66990584', '2005', '19226', '20050119', '20050118', 'Andi Firyal', 'Anak II', 'RSI Jakarta', '811199', 328000, 328000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19227, '73000773', '2004', '19227', '20050104', '20041227', '', 'Pegawai', 'RS Omni Medika', '811199', 1125000, 1125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19228, '65970472', '2004', '19228', '20050104', '20041221', '', 'Pegawai', 'RS Graha Medika', '811199', 1125000, 1125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19229, '78000693', '2004', '19229', '20050104', '20041215', '', 'Pegawai', 'RSUP Fatmawati', '811199', 1126000, 1126000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19230, '79031439', '2004', '19230', '20050110', '20041214', '', 'Pegawai', 'dr Taufan', '811199', 1252000, 1252000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19231, '67920054', '2004', '19231', '20050104', '20041231', 'Irma Rochima Puspita', 'Isteri', 'RSCM', '811199', 1843700, 1843700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19232, '62920060', '2005', '19232', '20050125', '20050115', 'Osama Ladn Rayhan', 'Anak I', 'RS Medistra', '811199', 170800, 170800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19233, '60930108', '2005', '19233', '20050125', '20050119', '', 'Pegawai', 'Dental Art', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19234, '57930124', '2005', '19234', '20050125', '20050119', '', 'Anak I', 'Dr Pudji', '811199', 202500, 202500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19235, '17501981', '2005', '19235', '20050125', '20050119', '', 'Pegawai', 'Rs St Carolus', '811199', 211200, 211200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19236, '67970469', '2005', '19236', '20050125', '20050119', '', 'Anak II', 'Klinik Limus', '811199', 263900, 263900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19237, '65960408', '2005', '19237', '20050125', '20050116', 'Rosmaini', 'Isteri', 'Dr. Adi Gunadi', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19238, '63970476', '2005', '19238', '20050125', '20050119', '', 'Pegawai', 'dr ishak', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19239, '60960384', '2005', '19239', '20050125', '20050118', '', 'Anak II', 'Hermina Bekasi', '811199', 214900, 214900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19240, '69950162', '2005', '19240', '20050125', '20050119', 'Muhammad Nadhif Judhananto', 'Anak I', 'RSPI', '811199', 189353, 189353, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19241, '64980559', '2005', '19241', '20050125', '20041202', 'Virtiany Pradawani', 'Anak I', 'Dr. Tinawati', '811199', 230000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19242, '69950222', '2005', '19242', '20050125', '20050119', '', 'Anak I', 'SOS Medika', '811199', 833450, 833450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19243, '65950196', '2005', '19243', '20050125', '20050119', '', 'Pegawai', 'RSCM', '811199', 236600, 236600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19244, '64970465', '2005', '19244', '20050125', '20050120', '', 'Pegawai', 'JMC', '811199', 122300, 122300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19245, '65930147', '2005', '19245', '20050125', '20050117', 'Kristina Nursanti', 'Isteri', 'RS Harum', '811199', 371000, 371000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19246, '70000791', '2005', '19246', '20050125', '20050120', '', 'Pegawai', 'RS Haji', '811199', 231100, 231100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19247, '65920033', '2005', '19247', '20050125', '20050123', 'Sambas Adhiyasa', 'Anak I', 'dr Azwir', '811199', 575100, 575100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19248, '62910013', '2005', '19248', '20050125', '20050115', 'Nur Hasanah', 'Isteri', 'RS Pasar Rebo', '811199', 480000, 480000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19249, '76021234', '2005', '19249', '20050125', '20050122', '', 'Pegawai', 'drg Retno', '811199', 86500, 86500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19250, '72099654', '2005', '19250', '20050125', '20050117', '', 'Anak I', 'Apt Aji Waras', '811199', 348300, 348300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19251, '74021263', '2005', '19251', '20050125', '20050116', '', 'Anak I', 'dr Bambang', '811199', 360250, 360250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19252, '74021101', '2005', '19252', '20050125', '20050113', '', 'Isteri', 'Dr Farel M', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19253, '76010950', '2005', '19253', '20050125', '20050117', '', 'Pegawai', 'Yayasan Ikhtiar', '811199', 295500, 295500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19254, '63920052', '2005', '19254', '20050125', '20050118', '', 'Anak I', 'RSMI', '811199', 130870, 130870, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19255, '71011018', '2005', '19255', '20050125', '20050123', '', 'Pegawai', 'Yudha Sakti', '811199', 113000, 113000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19256, '63000711', '2005', '19256', '20050125', '20050120', 'Haneti', 'Isteri', 'RS MMC', '811199', 213100, 213100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19257, '70000961', '2005', '19257', '20050125', '20050117', '', 'Isteri', 'RS Bunda', '811199', 322700, 322700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19258, '62920044', '2005', '19258', '20050125', '20050105', '', 'Anak I', 'RS POLRI', '811199', 436669, 436669, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19259, '63970464', '2005', '19259', '20050125', '20050113', '', 'Pegawai', 'LADOKGI', '811199', 20000, 20000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19260, '65960408', '2005', '19260', '20050125', '20050123', 'De Alzaro Nir Inszapuysho', 'Anak I', 'Dr Meri suhemi', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19261, '61930122', '2005', '19261', '20050125', '20050121', '', 'Pegawai', 'RS Medika Permata', '811199', 233500, 233500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19262, '17601989', '2005', '19262', '20050125', '20050122', '', 'Pegawai', 'Dr Alders', '811199', 104500, 104500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19263, '70940155', '2005', '19263', '20050125', '20050123', 'Absari Yuniarti', 'Isteri', 'Dr Bara Langi T', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19264, '68930133', '2005', '19264', '20050125', '20050119', '', 'Pegawai', 'dr benny', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19265, '49960404', '2005', '19265', '20050125', '20050124', 'Callista', 'Anak III', 'Dr Faruk  H', '811199', 560000, 560000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19266, '72010933', '2005', '19266', '20050125', '20050105', '', 'Pegawai', 'Dr Suwandi S', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19267, '65930147', '2005', '19267', '20050125', '20050119', 'Kristina Nursanti', 'Isteri', 'RS Harum', '811199', 324000, 324000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19268, '74011037', '2005', '19268', '20050125', '20050122', '', 'Pegawai', 'Klinik Vivi Husada', '811199', 2150000, 1950000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19269, '68000709', '2005', '19269', '20050125', '20050122', '', 'Isteri', 'RS Hermina', '811199', 332282, 332282, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19270, '69000692', '2005', '19270', '20050125', '20050124', 'Retno Wibramaningsih', 'Isteri', 'RS MI', '811199', 695023, 695023, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19271, '69021047', '2005', '19271', '20050125', '20050124', '', 'Anak I', 'Dr Hartaniah', '811199', 539100, 539100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19272, '78021416', '2005', '19272', '20050127', '20041224', '', 'Pegawai', 'drg Dian', '811199', 399000, 399000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19273, '79030001', '2005', '19273', '20050127', '20041223', '', 'Pegawai', 'Apotik Basmar', '811199', 305000, 305000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19274, '70950231', '2005', '19274', '20050127', '20041223', '', 'Pegawai', 'Drg Sari - Basmar', '811199', 593900, 593900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19275, '60930108', '2005', '19275', '20050127', '20050125', '', 'Pegawai', 'Dental Art', '811199', 2500000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19276, '72000696', '2005', '19276', '20050127', '20050115', 'Teti P.', 'Isteri', 'RS Haji', '811199', 291950, 291950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19277, '71950200', '2005', '19277', '20050201', '20050118', '', 'Anak I', 'RS Medistra', '811199', 160700, 160700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19278, '70930144', '2005', '19278', '20050127', '20050123', '', 'Anak I', 'dr Gunawan', '811199', 246620, 246620, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19279, '68960412', '2005', '19279', '20050127', '20050125', 'Michelle Shan C.', 'Anak I', 'dr Liliyani', '811199', 222000, 222000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19280, '78021087', '2005', '19280', '20050127', '20050114', '', 'Pegawai', 'dr Pramanawati', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19281, '76030008', '2005', '19281', '20050127', '20050118', '', 'Anak I', 'Aptk Keluarga', '811199', 55200, 55200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19282, '17501895', '2005', '19282', '20050127', '20050124', '', 'Pegawai', 'RS Medika Sempurna', '811199', 433700, 433700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19283, '70970480', '2005', '19283', '20050127', '20050124', '', 'Pegawai', 'RS Bunda', '811199', 174600, 174600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19284, '71980540', '2005', '19284', '20050127', '20050125', '', 'Pegawai', 'dr H Buddy', '811199', 206000, 206000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19285, '60950189', '2005', '19285', '20050127', '20050121', '', 'Pegawai', 'dr Rahayu', '811199', 172400, 172400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19286, '69000669', '2005', '19286', '20050127', '20050120', '', 'Anak I', 'RS Tria Dipa', '811199', 151000, 151000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19287, '80042286', '2005', '19287', '20050127', '20050118', '', 'Isteri', 'dr Tri Pratiwisuci', '811199', 198500, 198500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19288, '76980527', '2005', '19288', '20050127', '20050124', '', 'Pegawai', 'RS Medistra', '811199', 443700, 443700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19289, '64930109', '2005', '19289', '20050127', '20050122', '', 'Anak III', 'RS Hermina', '811199', 548950, 548950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19290, '70000684', '2005', '19290', '20050127', '20041227', '', 'Anak I', 'dr Gatami', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19291, '69970477', '2005', '19291', '20050127', '20050122', '', 'Anak I', 'KLinik Taman Aries', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19292, '60920041', '2005', '19292', '20050127', '20050122', '', 'Pegawai', 'RS Saint Carolus', '811199', 694200, 694200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19293, '75020004', '2005', '19293', '20050127', '20050122', '', 'Anak I', 'dr Hartantyo', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19294, '57980555', '2005', '19294', '20050127', '20050125', 'Rusmiati', 'Isteri', 'RS Puri Cinere', '811199', 729400, 729400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19295, '69960401', '2005', '19295', '20050127', '20050126', 'Naufal Rizqulloh', 'Anak II', 'dr Julia', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19296, '70970475', '2005', '19296', '20050127', '20050124', '', 'Anak I', 'RSIA Anna', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19297, '66010859', '2005', '19297', '20050127', '20050124', '', 'Pegawai', 'RS Bhakti Asih', '811199', 103000, 103000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19298, '73010858', '2005', '19298', '20050127', '20050124', '', 'Isteri', 'RS Mitra', '811199', 570216, 570216, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19299, '70010898', '2005', '19299', '20050127', '20050114', '', 'Isteri', 'dr Heru', '811199', 147300, 147300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19300, '16900803', '2005', '19300', '20050127', '20050118', '', 'Isteri', 'RS Bunda', '811199', 629400, 629400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19301, '71960398', '2005', '19301', '20050127', '20050122', '', 'Isteri', 'RS Graha Medika', '811199', 234000, 234000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19302, '72000772', '2005', '19302', '20050127', '20050124', '', 'Isteri', 'Klinik Ciracas', '811199', 126500, 126500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19303, '77000672', '2005', '19303', '20050127', '20050108', '', 'Pegawai', 'RS Siloam', '811199', 406200, 406200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19304, '69960396', '2005', '19304', '20050125', '20050123', '', 'Anak I', 'RS Puri Medika', '811199', 72000, 72000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19305, '71000750', '2005', '19305', '20050125', '20050122', '', 'Pegawai', 'Klinik Ritz & Estetikia', '811199', 650000, 650000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19306, '75042221', '2005', '19306', '20050201', '20041227', '', 'Pegawai', 'Yay Puri Nugraha', '811199', 291000, 291000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19307, '71960398', '2005', '19307', '20050201', '20050127', '', 'Isteri', 'Dr Adi Sunadi', '811199', 247700, 247700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19308, '27400906', '2005', '19308', '20050201', '20050124', '', 'Anak I', 'Dr H. Zainal A.', '811199', 310000, 310000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19309, '70980570', '2005', '19309', '20050201', '20050129', 'Eer', 'Isteri', 'RS Harapan Bunda', '811199', 380000, 380000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19310, '65920039', '2005', '19310', '20050201', '20050129', '', 'Pegawai', 'RS Bintaro', '811199', 1315101, 1315101, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19311, '69950178', '2005', '19311', '20050201', '20050130', '', 'Pegawai', 'RS Medistra', '811199', 284900, 284900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19312, '78042328', '2005', '19312', '20050201', '20050128', '', 'Pegawai', 'RS Mitra Kel', '811199', 158700, 158700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19313, '73021081', '2005', '19313', '20050201', '20050129', '', 'Anak I', 'Dr Budhy', '811199', 1044000, 1044000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19314, '68000760', '2005', '19314', '20050201', '20050124', '', 'Pegawai', 'Dr Retno', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19315, '62920017', '2005', '19315', '20050201', '20250127', '', 'Pegawai', 'Dr Agung', '811199', 640000, 640000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19316, '72099654', '2005', '19316', '20050201', '20050125', '', 'Anak I', 'Apt Aji Waras', '811199', 106000, 106000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19317, '76021234', '2005', '19317', '20050201', '20050126', '', 'Pegawai', 'Drg Retno', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19318, '61920040', '2005', '19318', '20050201', '20050130', 'Ilham Idris Ardiansyah Pulungan', 'Anak II', 'Dr Leopold', '811199', 1254900, 1254900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19319, '77032118', '2005', '19319', '20050201', '20050131', '', 'Pegawai', 'Dr Wilise', '811199', 216000, 216000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19320, '74031496', '2005', '19320', '20050201', '20050125', '', 'Pegawai', 'RS Cikini', '811199', 300000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19321, '75031490', '2005', '19321', '20050201', '20050129', '', 'Pegawai', 'Dr N Suartono', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19322, '65920039', '2005', '19322', '20050201', '20050126', 'Wiwin W,AMK', 'Isteri', 'RSI Bintaro', '811199', 231000, 231000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19323, '74000719', '2005', '19323', '20050201', '20050127', '', 'Pegawai', 'Klinik Limus P. M.', '811199', 119500, 119500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19324, '79010904', '2005', '19324', '20050201', '20050119', '', 'Pegawai', 'RS Harum', '811199', 151188, 151188, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19325, '58000807', '2005', '19325', '20050201', '20041204', 'Fitria', 'Anak I', 'Rival Usman', '811199', 143500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19326, '59021080', '2005', '19326', '20050201', '20050124', '', 'Isteri', 'RS Hermina', '811199', 336700, 336700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19327, '69021047', '2005', '19327', '20050201', '20050120', '', 'Anak I', 'Dr Hartaniah', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19328, '00030010', '2005', '19328', '20050201', '20050124', '', 'Pegawai', 'RS Hermina', '811199', 826000, 826000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19329, '70000791', '2005', '19329', '20050201', '20050125', 'Safarina', 'Isteri', 'Dr Judi', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19330, '16801865', '2005', '19330', '20050201', '20050120', '', 'Anak I', 'Prof. Dr. Agus F', '811199', 117470, 117470, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19331, '70980570', '2005', '19331', '20050201', '20050125', 'Nabil', 'Anak I', 'RS Haji Jkt', '811199', 495300, 495300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19332, '61000731', '2005', '19332', '20050201', '20050124', 'Sri Windarti', 'Isteri', 'Dr Safitri R.W', '811199', 261000, 261000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19333, '68960412', '2005', '19333', '20050201', '20050129', '', 'Pegawai', 'Dr. Liliyani', '811199', 375500, 375500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19334, '70990586', '2005', '19334', '20050201', '20050129', '', 'Isteri', 'RS Bintaro', '811199', 595000, 595000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19335, '71960437', '2005', '19335', '20050201', '20050125', 'Rinawati', 'Isteri', 'Dr Endang', '811199', 143000, 143000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19336, '67042301', '2005', '19336', '20050201', '20050129', '', 'Anak I', 'Klinik Mekar Sari', '811199', 133000, 133000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19337, '66920064', '2005', '19337', '20050201', '20050128', 'Sherliana', 'Isteri', 'Drg Stefanus', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19338, '66000734', '2005', '19338', '20050201', '20050129', '', 'Anak I', 'Dr Amah', '811199', 331000, 331000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19339, '16701946', '2005', '19339', '20050201', '20050129', '', 'Anak I', 'Harapan Kita', '811199', 1018500, 1018500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19340, '79042172', '2005', '19340', '20050201', '20050131', '', 'Isteri', 'RS Hermina', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19341, '65960399', '2005', '19341', '20050201', '20050125', '', 'Pegawai', 'Dr Ac. Harun', '811199', 498720, 498720, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19342, '69000687', '2005', '19342', '20050201', '20050119', '', 'Pegawai', 'Dr Maria I.', '811199', 721300, 721300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19343, '68920053', '2005', '19343', '20050201', '20050120', 'Janti Susanti', 'Isteri', 'RS Hermina', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19344, '72950364', '2005', '19344', '20050201', '20050127', '', 'Pegawai', 'RS Tria Dipa', '811199', 266500, 266500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19345, '68950371', '2005', '19345', '20050201', '20050115', '', 'Pegawai', 'RS Permata', '811199', 159000, 159000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19346, '70970475', '2005', '19346', '20050201', '20050127', '', 'Isteri', 'Klinik Pekayon jaya', '811199', 173000, 173000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19347, '69950162', '2005', '19347', '20050201', '20050124', 'Muhammad Nadhif Judhananto', 'Anak I', 'RS Siaga', '811199', 397750, 397750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19348, '17101947', '2005', '19348', '20050201', '20050118', '', 'Isteri', 'Klinik Medika', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19349, '68950174', '2005', '19349', '20050201', '20050125', '', 'Anak I', 'RS Hermina', '811199', 412980, 412980, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19350, '66920067', '2005', '19350', '20050201', '20050118', '', 'Anak I', 'Dr Hm. Ahmad T', '811199', 255000, 255000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19351, '79042172', '2005', '19351', '20050201', '20050124', '', 'Isteri', 'RS Hermina', '811199', 86100, 86100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19352, '50010867', '2005', '19352', '20050201', '20041228', '', 'Pegawai', 'dr Syamsu', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19353, '79010904', '2005', '19353', '20050204', '20050202', '', 'Pegawai', 'RS Harum', '811199', 588000, 588000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19354, '69000669', '2005', '19354', '20050204', '20050127', '', 'Pegawai', 'RS Siaga', '811199', 470150, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19355, '71000727', '2005', '19355', '20050204', '20050115', '', 'Isteri', 'dr Susmeiati', '811199', 655000, 655000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19356, '70950214', '2005', '19356', '20050204', '20050202', '', 'Anak I', 'Dr Arlin A', '811199', 186300, 186300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19357, '60970471', '2005', '19357', '20050204', '20050124', 'Mazaya Nauli', 'Anak I', 'RS Bunda', '811199', 213000, 213000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19358, '74000792', '2005', '19358', '20050204', '20050129', '', 'Pegawai', 'CHMC', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19359, '72000772', '2005', '19359', '20050204', '20050202', '', 'Anak I', 'RS Harapan Bunda', '811199', 249500, 249500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19360, '68000752', '2005', '19360', '20050204', '20050201', '', 'Anak II', 'S Dewi Sri', '811199', 235300, 235300, NULL, NULL, 'A', 'medical')



INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19361, '67980526', '2005', '19361', '20050204', '20050131', '', 'Anak II', 'RS Hermina', '811199', 444636, 444636, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19362, '73010858', '2005', '19362', '20050204', '20050131', '', 'Isteri', 'RS Mitra Int', '811199', 990865, 990865, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19363, '71000727', '2005', '19363', '20050204', '20050201', '', 'Isteri', 'Dr Maniane', '811199', 294100, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19364, '63950202', '2005', '19364', '20050204', '20050128', '', 'Pegawai', 'Dr Sita', '811199', 479100, 479100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19365, '57920024', '2005', '19365', '20050204', '20050128', '', 'Anak I', 'Jkt Eye Ctr', '811199', 264000, 264000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19366, '81031917', '2005', '19366', '20050204', '20050126', '', 'Pegawai', 'Jati Kramat', '811199', 120400, 120400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19367, '71950367', '2005', '19367', '20050204', '20050131', 'Astina Dahlia M.', 'Isteri', 'RS PGI Cikini', '811199', 806800, 806800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19368, '66920026', '2005', '19368', '20050204', '20050127', 'Ngakan Made Prakasa Judha', 'Anak II', 'RS Bintaro', '811199', 194197, 194197, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19369, '66980545', '2005', '19369', '20050222', '20050126', 'Rika Waisulkarni', 'Isteri', 'Aptk Endah', '811199', 325000, 325000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19370, '71980540', '2005', '19370', '20050204', '20050129', '', 'Anak II', 'Dr Budhy', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19371, '74950226', '2005', '19371', '20050204', '20050203', 'Sheza M. A.', 'Anak II', 'Dr Gunawan', '811199', 112000, 112000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19372, '69960401', '2005', '19372', '20050204', '20050203', 'Elly S. Abdurachman', 'Isteri', 'Dr Julia', '811199', 260000, 260000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19373, '60920075', '2005', '19373', '20050204', '20050203', 'Tatag Abiyoso Utomo', 'Anak I', 'Dr H. Joko W', '811199', 826100, 826100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19374, '77011035', '2005', '19374', '20050204', '20050202', '', 'Pegawai', 'Dr FB Sutikno', '811199', 134200, 134200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19375, '78021046', '2005', '19375', '20050204', '20050131', '', 'Pegawai', 'Klinik Pondok bambu', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19376, '74021101', '2005', '19376', '20050204', '20050203', '', 'Isteri', 'RS Bunda', '811199', 243100, 243100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19377, '72099654', '2005', '19377', '20050204', '20050202', '', 'Anak I', 'Apt Aji Waras', '811199', 312100, 312100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19378, '63920052', '2005', '19378', '20050204', '20050202', '', 'Anak I', 'Mitra Int''', '811199', 385820, 385820, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19379, '70920034', '2005', '19379', '20050204', '20050203', '', 'Pegawai', 'Dr Syarif Alwi', '811199', 108000, 108000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19380, '79031439', '2005', '19380', '20050204', '20050203', '', 'Pegawai', 'Dr Koesmanto', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19381, '75021078', '2005', '19381', '20050204', '20050130', '', 'Pegawai', 'BKR MKGR', '811199', 260000, 260000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19382, '67930127', '2005', '19382', '20050204', '20050127', 'Kanti Esti Rahayu', 'Isteri', 'RSIA Budhi Jaya', '811199', 629750, 629750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19383, '67950203', '2005', '19383', '20050204', '20050131', 'Yuli Sumirah', 'Isteri', 'Klinik Syarif H', '811199', 537500, 537500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19384, '73042189', '2005', '19384', '20050204', '20050130', '', 'Anak I', 'Dr Bambang Spa', '811199', 199000, 199000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19385, '67042241', '2005', '19385', '20050204', '20050201', '', 'Pegawai', 'Leny', '811199', 32000, 32000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19386, '70000791', '2005', '19386', '20050204', '20050201', 'Safarina', 'Isteri', 'Dr Suroso', '811199', 428000, 428000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19387, '65930147', '2005', '19387', '20050204', '20050129', '', 'Anak I', 'RS Harum', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19388, '74950226', '2005', '19388', '20050204', '20050131', 'Sheza M. A.', 'Anak II', 'Dr Tan Gek Soan', '811199', 89000, 89000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19389, '77000678', '2005', '19389', '20050204', '20050118', '', 'Pegawai', 'Dr Setiadi', '811199', 112000, 112000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19390, '77011035', '2005', '19390', '20050204', '20050131', '', 'Pegawai', 'Guardian', '811199', 95500, 95500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19391, '77011035', '2005', '19391', '20050204', '20050129', '', 'Pegawai', 'Dr H Erdwin R', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19392, '68000709', '2005', '19392', '20050204', '20050126', '', 'Isteri', 'RS Hermina', '811199', 112200, 112200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19393, '72000772', '2005', '19393', '20050204', '20050131', '', 'Anak I', 'RS Harapan Bunda', '811199', 204100, 204100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19394, '60032123', '2005', '19394', '20050204', '20050127', '', 'Pegawai', 'Dr Henry Pangestu', '811199', 115800, 115800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19395, '65960399', '2005', '19395', '20050204', '20050201', '', 'Anak I', 'RS Hermina', '811199', 174019, 174019, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19396, '70980554', '2005', '19396', '20050204', '20050129', '', 'Anak I', 'RS Permata Cibbr', '811199', 310000, 310000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19397, '63950190', '2005', '19397', '20050204', '20050122', '', 'Anak I', 'Permata Cbbr', '811199', 458000, 458000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19398, '72000707', '2005', '19398', '20050204', '20050120', '', 'Anak I', 'RS Harapan Kita', '811199', 412400, 412400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19399, '69960382', '2005', '19399', '20050204', '20050129', '', 'Pegawai', 'Panji Husada', '811199', 74000, 74000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19400, '54099650', '2005', '19400', '20050204', '20050131', '', 'Pegawai', 'RS Medisra', '811199', 279000, 279000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19401, '68930133', '2005', '19401', '20050204', '20050201', '', 'Pegawai', 'Apotik Kawi Jaya', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19402, '70010898', '2005', '19402', '20050204', '20050129', 'Anindya F.', 'Anak I', 'RS Permata Cbbr', '811199', 490000, 490000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19403, '71960437', '2005', '19403', '20050204', '20050201', 'Rinawati', 'Isteri', 'Dr Dwiana', '811199', 954800, 954800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19404, '67950357', '2005', '19404', '20050204', '20050202', 'Fariz Rayhan Siregar', 'Anak I', 'Dr Hj. Martani', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19405, '74990649', '2005', '19405', '20050204', '20050129', '', 'Pegawai', 'RS Asih', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19406, '61920069', '2005', '19406', '20050204', '20050122', 'Mochamad Arga Wirayudha', 'Anak II', 'dr Pasid', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19407, '71990574', '2005', '19407', '20050204', '20050128', '', 'Pegawai', 'dr Carla', '811199', 159400, 159400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19408, '70031507', '2005', '19408', '20050204', '20050201', '', 'Anak I', 'dr H Koesprapto', '811199', 300500, 300500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19409, '76021052', '2005', '19409', '20050204', '20050202', '', 'Pegawai', 'RS Hermina', '811199', 515700, 515700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19410, '74031496', '2005', '19410', '20050204', '20050125', '', 'Pegawai', 'RS Cikini', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19411, '61920040', '2005', '19411', '20050204', '20050201', '', 'Pegawai', 'RS Pertamina', '811199', 750000, 750000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19412, '60920041', '2005', '19412', '20050211', '20050128', 'Dewi Handayani', 'Isteri', 'Drg Galuh', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19413, '65920018', '2005', '19413', '20050211', '20050208', 'Irvansyah Firdaus', 'Anak II', 'Dr Himawan', '811199', 150300, 150300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19414, '66920029', '2005', '19414', '20050211', '20050208', 'Putri Java Islami Yuntoharjo', 'Anak II', 'Graha Raya Medika', '811199', 612500, 612500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19415, '57910014', '2005', '19415', '20050211', '20050205', 'Al Amin Syamshe Fajar', 'Anak III', 'Dr Yacob R', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19416, '71980540', '2005', '19416', '20050211', '20050129', 'Indah Kusharyanti', 'Isteri', 'Dr Budhy', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19417, '70031507', '2005', '19417', '20050211', '20050207', '', 'Isteri', 'Drg Muslina', '811199', 325000, 325000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19418, '62910013', '2005', '19418', '20050211', '20050207', 'Nur Hasanah', 'Isteri', 'RSIA Tumbuh  Kembang', '811199', 145100, 145100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19419, '66920043', '2005', '19419', '20050211', '20050203', 'Fathonah', 'Isteri', 'RSPI', '811199', 357428, 157428, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19420, '79030001', '2005', '19420', '20050211', '20050204', '', 'Pegawai', 'Drg Koesmanto', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19421, '61920045', '2005', '19421', '20050211', '20050207', 'Sutirma J.Rosalina', 'Isteri', 'Tumbuh Kembang', '811199', 236000, 236000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19422, '75980563', '2005', '19422', '20050211', '20050129', '', 'Anak I', 'RS  Hermina', '811199', 438000, 438000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19423, '78010962', '2005', '19423', '20050211', '20050202', '', 'Pegawai', 'RSIA Zahirah', '811199', 162100, 162100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19424, '65920033', '2005', '19424', '20050211', '20050204', 'Sambas Adhiyasa', 'Anak I', 'Dr Azwir', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19425, '71950200', '2005', '19425', '20050211', '20050206', '', 'Anak I', 'RS Medistra', '811199', 1343250, 1343250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19426, '72950363', '2005', '19426', '20050211', '20050205', '', 'Anak I', 'RS Medistra', '811199', 609600, 609600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19427, '69970477', '2005', '19427', '20050211', '20050204', '', 'Pegawai', 'RSB YPK', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19428, '72950364', '2005', '19428', '20050211', '20050204', '', 'Pegawai', 'RSB YPK', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19429, '75031506', '2005', '19429', '20050211', '20050205', '', 'Pegawai', 'Drg Sis Eko', '811199', 223500, 223500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19430, '61970468', '2005', '19430', '20050211', '20050128', '', 'Pegawai', 'Dr H.M Haryono', '811199', 217000, 217000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19431, '70980570', '2005', '19431', '20050211', '20050201', 'Nabil', 'Anak I', 'Dr H.Zainal A', '811199', 320000, 320000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19432, '68960388', '2005', '19432', '20050211', '20050131', '', 'Anak II', 'RS Medistra', '811199', 486600, 486600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19433, '63920047', '2005', '19433', '20050211', '20050202', '', 'Anak I', 'RS Medistra', '811199', 653200, 653200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19434, '51980512', '2005', '19434', '20050211', '20050127', '', 'Pegawai', 'RS Mitra', '811199', 2306204, 2306204, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19435, '66920064', '2005', '19435', '20050211', '20050203', 'Sherliana', 'Isteri', 'RSIA Tumbuh K', '811199', 130700, 130700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19436, '76960435', '2005', '19436', '20050211', '20050203', '', 'Anak I', 'Dr Zaza F', '811199', 214000, 214000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19437, '73960391', '2005', '19437', '20050211', '20050205', 'Rita Aryana', 'Isteri', 'Rs Hermina', '811199', 301000, 301000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19438, '67950357', '2005', '19438', '20050211', '20050205', '', 'Anak II', 'Dr Hj. Marani', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19439, '68021214', '2005', '19439', '20050211', '20050127', '', 'Pegawai', 'Dr Salmah', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19440, '66990584', '2005', '19440', '20050211', '20050204', 'Andi Firyal', 'Anak II', 'RSIA Hermina', '811199', 361800, 361800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19441, '76970457', '2005', '19441', '20050211', '20050201', '', 'Pegawai', 'Dr Lucia L', '811199', 249000, 249000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19442, '17101947', '2005', '19442', '20050211', '20050124', '', 'Anak I', 'RSU Bhakti Yhuda', '811199', 336500, 336500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19443, '71011018', '2005', '19443', '20050211', '20050204', '', 'Anak I', 'Hermina', '811199', 129300, 129300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19444, '67950203', '2005', '19444', '20050211', '20050127', 'Yuli Sumirah', 'Isteri', 'Dr Syamsurizal', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19445, '73099601', '2005', '19445', '20050211', '20050207', '', 'Anak I', 'Dr Toto', '811199', 158800, 158800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19446, '80042199', '2005', '19446', '20050211', '20050208', '', '', 'Rs Medistra', '811199', 457700, 457700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19447, '72970503', '2005', '19447', '20050217', '20050215', '', 'Pegawai', 'Apotik Titi Murni', '811199', 94000, 94000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19448, '70970487', '2005', '19448', '20050217', '20050214', '', 'Pegawai', 'Dr Ketut Brata', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19449, '63950190', '2005', '19449', '20050217', '20050210', '', 'Pegawai', 'Klinik Artha Sari', '811199', 85400, 85400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19450, '64930109', '2005', '19450', '20050217', '20050207', '', 'Anak III', 'RS Bunda', '811199', 292400, 292400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19451, '55021244', '2005', '19451', '20050217', '20050207', 'Tisnowati', 'Isteri', 'RS Haji Jkt', '811199', 460625, 460625, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19452, '76030008', '2005', '19452', '20050217', '20050213', '', 'Isteri', 'Bidan Siti A', '811199', 100400, 100400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19453, '64980559', '2005', '19453', '20050217', '20050128', 'Malika Daeng Ratang', 'Isteri', 'Apotik Roxi', '811199', 314500, 314500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19454, '62920060', '2005', '19454', '20050217', '20050216', 'Osama Ladn Rayhan', 'Anak I', 'RS Medistra', '811199', 267800, 267800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19455, '16801896', '2005', '19455', '20050217', '20050208', '', 'Isteri', 'Bina Medika', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19456, '71960398', '2005', '19456', '20050217', '20050214', '', 'Isteri', 'RS Siloam  Graha Medika', '811199', 489000, 489000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19457, '68000760', '2005', '19457', '20050217', '20050214', '', 'Pegawai', 'Dr Retno', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19458, '69000692', '2005', '19458', '20050217', '20050211', 'Retno Wibramaningsih', 'Isteri', 'RS M I', '811199', 385644, 385644, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19459, '67970469', '2005', '19459', '20050217', '20050215', 'Suharti', 'Isteri', 'RSIA Permata Cbbr', '811199', 217300, 217300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19460, '76980517', '2005', '19460', '20050217', '20050203', '', 'Anak II', 'RS Puri Cinere', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19461, '59950195', '2005', '19461', '20050217', '20050120', 'Lisbet Morliner', 'Isteri', 'RS Mitra Keluarga', '811199', 169400, 169400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19462, '79042172', '2005', '19462', '20050217', '20050214', '', 'Isteri', 'RS Hermina', '811199', 269100, 269100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19463, '69960401', '2005', '19463', '20050217', '20050217', 'Rafiqi Luthfan', 'Anak I', 'Apotik Galaxi', '811199', 203000, 203000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19464, '77011033', '2005', '19464', '20050217', '20050211', '', 'Pegawai', 'RS Bhakti Yudha', '811199', 1525000, 1166500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19465, '62920017', '2005', '19465', '20050217', '20050212', '', 'Pegawai', 'Dr Welinton', '811199', 162000, 162000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19466, '77021138', '2005', '19466', '20050217', '20050207', '', 'Pegawai', 'Klinik Ladokgi', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19467, '66010859', '2005', '19467', '20050217', '20050214', 'Maulida A.', 'Anak II', 'RS Bhakti Asih', '811199', 164500, 164500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19468, '70000961', '2005', '19468', '20050217', '20050215', '', 'Isteri', 'RS Bunda', '811199', 287000, 287000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19469, '67920054', '2005', '19469', '20050217', '20050214', '', 'Anak II', 'Apotik Kimia Farma', '811199', 562400, 562400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19470, '63990637', '2005', '19470', '20050217', '20041231', 'Aulia Rahman', 'Anak II', 'RSUD Budhi Asih', '811199', 322000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19471, '64950184', '2005', '19471', '20050217', '20050214', 'Muhammad Karim Adjiperdana', 'Anak I', 'Klinik Puri Mutiara', '811199', 415000, 415000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19472, '67950203', '2005', '19472', '20050215', '20050209', '', 'Pegawai', 'Dr Samsurizal', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19473, '60950189', '2005', '19473', '20050215', '20050212', 'iis Elisabet', 'Isteri', 'RS Budi Lestari', '811199', 136500, 136500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19474, '49960404', '2005', '19474', '20050215', '20050131', 'Callista', 'Anak III', 'Dr Faruk H', '811199', 527500, 527500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19475, '67970469', '2005', '19475', '20050215', '20050208', '', 'Pegawai', 'Drg Gina R', '811199', 1228000, 1228000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19476, '71011042', '2005', '19476', '20050215', '20050129', '', 'Isteri', 'Dr Harry Tjahhyanto', '811199', 111000, 111000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19477, '68950221', '2005', '19477', '20050215', '20050211', 'Nurseha', 'Isteri', 'Dr Tje Tje P', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19478, '66920063', '2005', '19478', '20050215', '20050119', '', 'Isteri', 'Drg C Anggraini', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19479, '71990647', '2005', '19479', '20050215', '20050207', 'Yanti Sinaga', 'Isteri', 'RSAB HARKIT', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19480, '65920039', '2005', '19480', '20050215', '20050211', '', 'Anak I', 'RSIB', '811199', 507925, 507925, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19481, '74021263', '2005', '19481', '20050215', '20050211', '', 'Pegawai', 'Apt Pondok Gede', '811199', 950700, 950700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19482, '79031739', '2005', '19482', '20050215', '20050212', '', 'Pegawai', 'Dr I Made Djaya', '811199', 396000, 396000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19483, '67950357', '2005', '19483', '20050215', '20050210', '', 'Pegawai', 'Klinik Tomang', '811199', 117000, 117000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19484, '74031496', '2005', '19484', '20050215', '20050203', '', 'Pegawai', 'RS Cikini', '811199', 209400, 209400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19485, '78021416', '2005', '19485', '20050215', '20050210', '', 'Pegawai', 'Klinik Siaga', '811199', 107000, 107000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19486, '80042199', '2005', '19486', '20050211', NULL, '', 'Pegawai', 'Century', '811199', 106500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19487, '76010869', '2005', '19487', '20050215', '20050205', '', 'Isteri', 'RS Bunda', '811199', 614000, 614000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19488, '69960396', '2005', '19488', '20050215', '20050210', '', 'Anak I', 'RS Puri Medika', '811199', 111000, 111000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19489, '17700818', '2005', '19489', '20050215', '20050207', '', 'Pegawai', 'dr David Agus', '811199', 225000, 225000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19490, '65950196', '2005', '19490', '20050215', '20050212', '', 'Pegawai', 'RSB YPK', '811199', 268000, 268000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19491, '75010905', '2005', '19491', '20050215', '20050215', '', 'Pegawai', 'dr Valentine', '811199', 92000, 92000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19492, '70920034', '2005', '19492', '20050215', '20050207', '', 'Pegawai', 'dr Syarif Alwi', '811199', 56000, 56000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19493, '67920049', '2005', '19493', '20050215', '20050210', '', 'Pegawai', 'RSIA Mitra', '811199', 196000, 196000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19494, '66970463', '2005', '19494', '20050215', '20050214', '', 'Pegawai', 'dr Adi Asmono', '811199', 251500, 251500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19495, '69960401', '2005', '19495', '20050215', '20050214', 'Naufal Rizqulloh', 'Anak II', 'dr Julia', '811199', 115200, 115200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19496, '69950162', '2005', '19496', '20050215', '20050212', 'Muhammad Nadhif Judhananto', 'Anak I', 'RS Siaga', '811199', 580700, 580700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19497, '68960412', '2005', '19497', '20050215', '20050212', 'Michelle Shan C.', 'Anak I', 'dr Liliyani', '811199', 222000, 222000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19498, '72021108', '2005', '19498', '20050215', '20050207', '', 'Anak I', 'RSTugu Ibu', '811199', 138400, 138400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19499, '68000752', '2005', '19499', '20050215', '20050202', '', 'Anak II', 'RS Dewi Sri', '811199', 99500, 99500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19500, '63920052', '2005', '19500', '20050215', '20050207', '', 'Pegawai', 'drg Dian', '811199', 391800, 391800, NULL, NULL, 'A', 'medical')





/* Data for the `MedicalRestitusiDetail` table  (Records 19501 - 20000) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19501, '64920046', '2005', '19501', '20050215', '20050209', 'Moch.Prahastomi', 'Anak I', 'Klinik Citra', '811199', 43000, 43000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19502, '62920060', '2005', '19502', '20050215', '20050212', 'Osama Ladn Rayhan', 'Anak I', 'dr Soedigdo', '811199', 152000, 152000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19503, '68970466', '2005', '19503', '20050215', '20050211', '', 'Pegawai', 'RSIA Hermina', '811199', 97950, 97950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19504, '70970480', '2005', '19504', '20050215', '20050212', '', 'Anak I', 'RS MMC', '811199', 770200, 770200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19505, '71011018', '2005', '19505', '20050215', '20050208', '', 'Anak I', 'Yay Yudha', '811199', 31000, 31000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19506, '73032086', '2005', '19506', '20050215', '20050207', '', 'Pegawai', 'dr Maria', '811199', 274000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19507, '75980563', '2005', '19507', '20050215', '20050211', '', 'Anak I', 'dr Laily', '811199', 63000, 63000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19508, '66950355', '2005', '19508', '20050215', '20050204', '', 'Isteri', 'Sam Marie', '811199', 506000, 506000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19509, '75010905', '2005', '19509', '20050215', '20050214', '', 'Pegawai', 'RS Harum', '811199', 201000, 201000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19510, '74970450', '2005', '19510', '20050215', '20050214', '', 'Pegawai', 'dr Ridwan', '811199', 77000, 77000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19511, '66920064', '2005', '19511', '20050215', '20050212', 'M. Eryan', 'Anak I', 'Raditya Medical', '811199', 229000, 229000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19512, '65930147', '2005', '19512', '20050215', '20050211', '', 'Anak I', 'RS Harum', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19513, '67950357', '2005', '19513', '20050215', '20050208', '', 'Anak II', 'dr Martani', '811199', 230050, 181000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19514, '75021078', '2005', '19514', '20050215', '20050205', 'Yulia N.', 'Isteri', 'RS Harum', '811199', 241500, 241500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19515, '67042301', '2005', '19515', '20050215', '20050208', '', 'Anak I', 'RS Barromeus', '811199', 143600, 143600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19516, '73010870', '2005', '19516', '20050215', '20050208', '', 'Pegawai', 'drg Dian Haerani', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19517, '73010858', '2005', '19517', '20050215', '20050212', '', 'Isteri', 'RS Mitra Int', '811199', 786395, 786395, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19518, '74990649', '2005', '19518', '20050215', '20050209', '', 'Pegawai', 'Klinik Artha Sari', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19519, '69960413', '2005', '19519', '20050215', '20050211', '', 'Pegawai', 'RS Muhammadiyah', '811199', 257600, 257600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19520, '74011037', '2005', '19520', '20050215', '20050206', '', 'Anak I', 'dr Soewarsi', '811199', 99700, 99700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19521, '72000772', '2005', '19521', '20050215', '20050212', '', 'Isteri', 'RS Harapan Bunda', '811199', 840200, 840200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19522, '70031507', '2005', '19522', '20050215', '20050211', '', 'Anak I', 'drg Oyang', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19523, '66970473', '2005', '19523', '20050215', '20050202', '', 'Anak I', 'RS Gandaria', '811199', 148500, 148500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19524, '66000735', '2005', '19524', '20050215', '20050125', '', 'Pegawai', 'dr Edi', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19525, '16800732', '2005', '19525', '20050215', '20050212', '', 'Pegawai', 'dr Soemitro', '811199', 280000, 280000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19526, '61920040', '2005', '19526', '20050215', '20050212', '', 'Pegawai', 'RS Pertamina', '811199', 910500, 910500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19527, '63010866', '2005', '19527', '20050217', '20050204', '', 'Pegawai', 'RS Hermina', '811199', 143150, 143150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19528, '68960412', '2005', '19528', '20050217', '20050205', 'Michelle Shan C.', 'Anak I', 'RS MMC', '811199', 245000, 245000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19529, '63000711', '2005', '19529', '20050217', '20050211', 'Haneti', 'Isteri', 'Interzone T.C', '811199', 343000, 343000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19530, '64950185', '2005', '19530', '20050217', '20050208', '', 'Anak I', 'dr H Karnean', '811199', 1960000, 1960000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19531, '70990648', '2005', '19531', '20050217', '20050202', 'Faizah Rahmah Izzatudini', 'Anak I', 'dr Wiwik', '811199', 32000, 32000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19532, '68960412', '2005', '19532', '20050217', '20050214', '', 'Anak II', 'dr Liliyani', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19533, '67950357', '2005', '19533', '20050222', '20050219', '', 'Pegawai', 'RS Harapan Kita', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19534, '67042241', '2005', '19534', '20050222', '20050214', '', 'Anak I', 'dr Asril', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19535, '71980540', '2005', '19535', '20050222', '20050220', 'Rasyid Indy Nur Sasongko', 'Anak I', 'dr Kemal', '811199', 326500, 326500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19536, '70990586', '2005', '19536', '20050222', '20050211', '', 'Isteri', 'dr Oktafandhi', '811199', 276300, 276300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19537, '72031488', '2005', '19537', '20050222', '20050216', '', 'Pegawai', 'Klinik Kartika', '811199', 748190, 748190, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19538, '65920039', '2005', '19538', '20050222', '20050215', '', 'Anak I', 'RSIB', '811199', 393000, 393000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19539, '63970483', '2005', '19539', '20050222', '20050214', '', 'Anak I', 'RS PMI', '811199', 654000, 654000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19540, '60950189', '2005', '19540', '20050222', '20050219', 'Riska Oktaviana', 'Anak III', 'dr H Eddy', '811199', 723000, 723000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19541, '71000750', '2005', '19541', '20050222', '20050214', '', 'Pegawai', 'dr F.X Edmond', '811199', 262500, 262500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19542, '71980551', '2005', '19542', '20050222', '20050216', '', 'Pegawai', 'drg Endang', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19543, '77011035', '2005', '19543', '20050222', '20050214', '', 'Pegawai', 'RS Harapan Kita', '811199', 336000, 336000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19544, '77011016', '2005', '19544', '20050222', '20050218', '', 'Pegawai', 'RS Dharmais', '811199', 146927, 146927, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19545, '69960396', '2005', '19545', '20050222', '20050213', '', 'Anak I', 'RS Puri Medika', '811199', 38000, 38000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19546, '63920052', '2005', '19546', '20050222', '20050217', '', 'Pegawai', 'drg Dian', '811199', 305000, 305000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19547, '77021433', '2005', '19547', '20050222', '20050221', '', 'Pegawai', 'dr Suratna', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19548, '76021258', '2005', '19548', '20050222', '20050219', '', 'Pegawai', 'RS Puri Cinere', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19549, '71990574', '2005', '19549', '20050222', '20050217', '', 'Pegawai', 'RSPI', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19550, '65950196', '2005', '19550', '20050222', '20050219', '', 'Pegawai', 'RSCM', '811199', 182800, 182800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19551, '71990647', '2005', '19551', '20050222', '20050221', 'Yanti Sinaga', 'Isteri', 'RS Harapan Kita', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19552, '63970464', '2005', '19552', '20050222', '20050218', '', 'Pegawai', 'dr Kamsi', '811199', 406000, 406000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19553, '65960416', '2005', '19553', '20050222', '20050214', '', 'Pegawai', 'Aptk Kimia Farma', '811199', 75600, 75600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19554, '77042155', '2005', '19554', '20050222', '20050215', '', 'Pegawai', 'dr Heli', '811199', 135500, 135500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19555, '66950220', '2005', '19555', '20050222', '20050213', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19556, '64930109', '2005', '19556', '20050222', '20050217', '', 'Pegawai', 'RS Medistra', '811199', 180800, 180800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19557, '71042200', '2005', '19557', '20050222', '20050129', '', 'Pegawai', 'Aptk Maharaja', '811199', 66300, 66300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19558, '59920104', '2005', '19558', '20050222', '20050217', 'Abraham Setiawan', 'Anak I', 'dr Gunawan', '811199', 208500, 208500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19559, '75010905', '2005', '19559', '20050222', '20050218', '', 'Pegawai', 'drg Koesmanto', '811199', 550000, 550000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19560, '65950169', '2005', '19560', '20050222', '20050208', '', 'Anak I', 'dr Moeslichan', '811199', 282000, 282000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19561, '67970469', '2005', '19561', '20050222', '20050219', 'Rafly Malik Sulaiman', 'Anak I', 'RS Permata', '811199', 191500, 191500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19562, '78021264', '2005', '19562', '20050222', '20050208', '', 'Pegawai', 'T.O Tiga Berlian', '811199', 347000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19563, '66980545', '2005', '19563', '20050222', '20050126', 'Rika Waisulkarni', 'Isteri', 'dr Suharyanti', '811199', 153400, 153400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19564, '69960396', '2005', '19564', '20050222', '20050125', '', 'Anak I', 'RS Puri Medika', '811199', 49000, 49000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19565, '68000760', '2005', '19565', '20050222', '20050202', 'Nurul Hidayati', 'Isteri', 'dr Eti', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19566, '71960437', '2005', '19566', '20050222', '20050219', 'Nadya Agustina', 'Anak I', 'RSIA Permata', '811199', 376000, 376000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19567, '79042269', '2005', '19567', '20050222', '20050219', '', 'Pegawai', 'dr H Raddy', '811199', 363200, 363200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19568, '17101947', '2005', '19568', '20050222', '20050215', '', 'Isteri', 'dr Ninik', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19569, '71940159', '2005', '19569', '20050222', '20050208', '', 'Pegawai', 'RSPI', '811199', 557141, 557141, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19570, '57980555', '2005', '19570', '20050222', '20050217', 'Enggar Parastri', 'Anak III', 'dr Maria C', '811199', 619000, 619000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19571, '65021085', '2005', '19571', '20050222', '20050214', '', 'Pegawai', 'dr Radwia', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19572, '68930133', '2005', '19572', '20050222', '20050220', '', 'Pegawai', 'dr Benny', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19573, '63920047', '2005', '19573', '20050222', '20050212', '', 'Anak I', 'drg Mansyuro', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19574, '70990648', '2005', '19574', '20050222', '20050214', '', 'Pegawai', 'drg Indriathi', '811199', 76200, 76200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19575, '67950193', '2005', '19575', '20050222', '20050221', '', 'Pegawai', 'Aptk Basmar', '811199', 349800, 349800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19576, '67950193', '2005', '19576', '20050222', '20050215', 'Cut Yellynawati', 'Isteri', 'RS MMC', '811199', 656800, 656800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19577, '65920033', '2005', '19577', '20050222', '20050219', 'Eti Karyati', 'Isteri', 'dr Prasetyo', '811199', 161800, 161800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19578, '16801896', '2005', '19578', '20050222', '20050211', '', 'Pegawai', 'dr Almasyur', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19579, '72950363', '2005', '19579', '20050222', '20050221', '', 'Anak I', 'RS Bunda', '811199', 315200, 315200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19580, '70970480', '2005', '19580', '20050222', '20050219', '', 'Anak I', 'RS MMC', '811199', 668500, 668500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19581, '69970477', '2005', '19581', '20050222', '20050221', '', 'Pegawai', 'RSPC Cibubur', '811199', 185600, 185600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19582, '69000669', '2005', '19582', '20050222', '20050127', '', 'Pegawai', 'RS Siaga', '811199', 470150, 470150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19583, '62042292', '2005', '19583', '20050222', '20050214', '', 'Pegawai', 'Klinik Era Medika', '811199', 88400, 88400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19584, '63990637', '2005', '19584', '20050222', '20050221', '', 'Pegawai', 'RS Haji', '811199', 797625, 797625, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19585, '57930113', '2005', '19585', '20050222', '20050129', 'Anggraini Rahayu Widyanti', 'Anak I', 'drg Hendyahti', '811199', 100000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19586, '79021076', '2005', '19586', '20050222', '20050211', '', 'Pegawai', 'dr Retno', '811199', 368400, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19587, '67940157', '2005', '19587', '20050222', '20050126', '', 'Anak I', 'Klinik Anakku', '811199', 420000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19588, '69021047', '2005', '19588', '20050222', '20050212', '', 'Pegawai', 'RS Siaga', '811199', 783000, 783000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19589, '72021050', '2005', '19589', '20050222', '20050205', '', 'Isteri', 'RS Abdi Waluyo', '811199', 323000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19590, '68031913', '2005', '19590', '20050222', '20050205', '', 'Pegawai', 'dr Helmi', '811199', 116900, 116900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19591, '70970487', '2005', '19591', '20050217', '20050216', '', 'Pegawai', 'Century', '811199', 337800, 337800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19592, '61920040', '2005', '19592', '20050222', '20050220', '', 'Pegawai', 'drg Jenny', '811199', 750000, 750000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19593, '80021417', '2005', '19593', '20050217', '20050210', '', 'Pegawai', 'Aneka', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19594, '80042286', '2005', '19594', '20050224', '20050219', '', 'Isteri', 'RS Permata Cibubur', '811199', 245000, 245000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19595, '73021081', '2005', '19595', '20050224', '20050218', '', 'Pegawai', 'dr Budhy', '811199', 407000, 407000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19596, '17702001', '2005', '19596', '20050224', '20050221', '', 'Pegawai', 'JMC', '811199', 148300, 148300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19597, '79010904', '2005', '19597', '20050224', '20050221', '', 'Pegawai', 'RS Harum', '811199', 191500, 191500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19598, '70000806', '2005', '19598', '20050224', NULL, '', 'Pegawai', 'RS Puri Cinere', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19599, '76021234', '2005', '19599', '20050224', '20050221', '', 'Pegawai', 'Drg Retno', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19600, '72950223', '2005', '19600', '20050224', '20050218', '', 'Anak I', 'Dr FX Koesriyati', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19601, '73000708', '2005', '19601', '20050224', '20050215', '', 'Anak I', 'Dr Harry P', '811199', 364800, 364800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19602, '66970473', '2005', '19602', '20050224', '20050221', '', 'Pegawai', 'Yysn Bina Sehat', '811199', 59000, 59000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19603, '55021244', '2005', '19603', '20050224', '20050219', '', 'Anak I', 'Dr HM Usman', '811199', 303000, 303000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19604, '63970478', '2005', '19604', '20050224', '20050215', '', 'Pegawai', 'Dr Bernhard', '811199', 61500, 61500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19605, '58000840', '2005', '19605', '20050224', '20050215', '', 'Pegawai', 'Dr M. Santoso', '811199', 244900, 244900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19606, '74950356', '2005', '19606', '20050224', '20050221', 'Rendy Santoso', 'Anak I', 'Dr J Silitonga', '811199', 310000, 310000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19607, '72980510', '2005', '19607', '20050224', '20050218', 'M. Nur Muhriza', 'Anak I', 'Dr Antonius', '811199', 113500, 113500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19608, '69021047', '2005', '19608', '20050224', '20050221', '', 'Pegawai', 'Dr Komaria', '811199', 272000, 272000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19609, '79042170', '2005', '19609', '20050224', '20050217', '', 'Pegawai', 'Dr Rudy Andreas', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19610, '75020004', '2005', '19610', '20050224', '20050217', '', 'Isteri', 'Dr Hamidah', '811199', 395500, 395500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19611, '66970463', '2005', '19611', '20050224', '20050221', '', 'Pegawai', 'Dr Adi Asmono', '811199', 362400, 362400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19612, '74950226', '2005', '19612', '20050224', '20050223', 'Sheza M. A.', 'Anak II', 'RS Husada', '811199', 292650, 292650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19613, '66950191', '2005', '19613', '20050224', '20050204', 'Andriana', 'Isteri', 'Dr Azen', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19614, '66920026', '2005', '19614', '20050224', '20050208', 'Ngakan Putu Prajna Pratisthita', 'Anak I', 'Apt. Murti', '811199', 214400, 214400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19615, '75031490', '2005', '19615', '20050224', '20050221', '', 'Pegawai', 'Dgr Lidya', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19616, '76021236', '2005', '19616', '20050224', '20050223', '', 'Anak I', 'Dr Alinda SPA', '811199', 521200, 521200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19617, '72950364', '2005', '19617', '20050224', '20050223', '', 'Anak I', 'RS Triadipa', '811199', 1152500, 1152500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19618, '70010891', '2005', '19618', '20050224', '20050205', '', 'Isteri', 'dr Krisyanto', '811199', 201650, 201650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19619, '72000794', '2005', '19619', '20050301', '20050214', '', 'Isteri', 'RS Panti Waluyo', '811199', 438500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19620, '69960396', '2005', '19620', '20050301', '20050225', '', 'Anak I', 'RS Puri Medika', '811199', 255400, 255400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19621, '71960398', '2005', '19621', '20050301', '20050226', '', 'Isteri', 'RS Graha Medika', '811199', 800000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19622, '64980559', '2005', '19622', '20050301', '20050223', 'Malika Daeng Ratang', 'Isteri', 'drg ELINA', '811199', 989700, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19623, '71011018', '2005', '19623', '20050301', '20050225', '', 'Anak I', 'dr Mochtar', '811199', 208500, 208500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19624, '71990574', '2005', '19624', '20050301', '20050225', '', 'Pegawai', 'Klinik Depok', '811199', 151900, 151900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19625, '74000719', '2005', '19625', '20050301', '20050213', '', 'Anak I', 'Klinik Limus P.', '811199', 58000, 58000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19626, '70940155', '2005', '19626', '20050301', '20050224', 'Absari Yuniarti', 'Isteri', 'Praktek Maria', '811199', 88000, 88000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19627, '76030008', '2005', '19627', '20050301', '20050222', '', 'Anak I', 'aptk Kimia Farma', '811199', 59300, 59300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19628, '71031758', '2005', '19628', '20050301', '20050223', '', 'Pegawai', 'Drg Damayanti', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19629, '75990602', '2005', '19629', '20050301', '20050221', '', 'Pegawai', 'Drg Ratna M', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19630, '80031449', '2005', '19630', '20050301', '20050215', '', 'Pegawai', 'Dr Safarudin', '811199', 109000, 109000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19631, '67950203', '2005', '19631', '20050301', '20050228', '', 'Pegawai', 'Klinik Syasif H', '811199', 216900, 216900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19632, '67970469', '2005', '19632', '20050301', '20050228', '', 'Anak II', 'RS Permata', '811199', 183000, 183000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19633, '66970473', '2005', '19633', '20050301', '20050228', '', 'Anak I', 'Yys Bina Sehat', '811199', 355000, 355000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19634, '72099654', '2005', '19634', '20050301', '20050226', '', 'Anak I', 'Apt Aji Waras', '811199', 301600, 301600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19635, '70980554', '2005', '19635', '20050301', '20050226', 'Oktarisna Yanti', 'Isteri', 'RS Permata Cbbr', '811199', 520800, 520800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19636, '68950221', '2005', '19636', '20050301', '20050228', '', 'Pegawai', 'Dr H. Tje tje', '811199', 289225, 289225, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19637, '74011037', '2005', '19637', '20050301', '20050225', '', 'Anak I', 'Dr Moh Effendi', '811199', 401700, 401700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19638, '68920057', '2005', '19638', '20050301', '20050224', '', 'Anak I', 'RS Puri Cinere', '811199', 443100, 443100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19639, '58950188', '2005', '19639', '20050301', '20050226', 'Komerahyatun', 'Isteri', 'Dr Agung', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19640, '71990599', '2005', '19640', '20050301', '20050226', '', 'Pegawai', 'RS Mitra Keluarga', '811199', 940900, 940900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19641, '69000669', '2005', '19641', '20050301', '20050225', '', 'Anak I', 'RS Tria Dipa', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19642, '73021081', '2005', '19642', '20050301', '20050226', '', 'Anak I', 'RMC Depok', '811199', 136000, 136000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19643, '68920053', '2005', '19643', '20050301', '20050226', 'Syahida Nurrahmah', 'Anak II', 'RS Hermina', '811199', 178000, 178000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19644, '77021138', '2005', '19644', '20050301', '20050228', '', 'Pegawai', 'Klinik Remedika', '811199', 233000, 233000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19645, '76960435', '2005', '19645', '20050301', '20050226', '', 'Isteri', 'RS Siloam', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19646, '74031438', '2005', '19646', '20050301', '20050225', '', 'Isteri', 'RS Harapan KIta', '811199', 463500, 227500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19647, '65930147', '2005', '19647', '20050301', '20050225', '', 'Anak I', 'RS Harum', '811199', 346000, 346000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19648, '16701946', '2005', '19648', '20050301', '20050221', '', 'Anak I', 'Dr Ibnu', '811199', 700300, 580300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19649, '63000711', '2005', '19649', '20050301', '20050215', 'Haneti', 'Isteri', 'Interzone T.C', '811199', 114000, 114000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19650, '69970477', '2005', '19650', '20050301', '20050223', '', 'Pegawai', 'Klinik LPM', '811199', 68500, 68500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19651, '75990580', '2005', '19651', '20050301', '20050224', '', '', 'Pamulang MC', '811199', 230500, 230500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19652, '17101947', '2005', '19652', '20050301', '20050228', '', 'Isteri', 'RSB Duren Tiga', '811199', 352300, 352300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19653, '72000696', '2005', '19653', '20050301', '20050225', '', 'Anak I', 'RS Haji', '811199', 307900, 307900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19654, '57910014', '2005', '19654', '20050301', '20050228', 'Arief Rahman', 'Anak II', 'Dr Yacob R', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19655, '66990584', '2005', '19655', '20050301', '20050223', 'Andi Maysita Areshaska', 'Anak I', 'RSI Jakarta', '811199', 104500, 104500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19656, '71950200', '2005', '19656', '20050301', '20050207', '', 'Anak I', 'RS Medistra', '811199', 501600, 265850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19657, '70930144', '2005', '19657', '20050301', '20050219', '', 'Anak I', 'RS Medistra', '811199', 667900, 667900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19658, '62910013', '2005', '19658', '20050301', '20050227', '', 'Anak I', 'RSIA Tumbuh Kembang', '811199', 195700, 195700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19659, '00030010', '2005', '19659', '20050301', '20050217', '', 'Anak I', 'RS Hermina', '811199', 894518, 894518, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19660, '68920053', '2005', '19660', '20050301', '20050224', 'Janti Susanti', 'Isteri', 'RS Hermina', '811199', 270500, 270500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19661, '72950223', '2005', '19661', '20050301', '20050227', 'Titin Yuniria', 'Isteri', 'Dr Yhudi', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19662, '68000709', '2005', '19662', '20050301', '20050219', '', 'Anak I', 'RS Hermina', '811199', 295525, 295525, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19663, '66000734', '2005', '19663', '20050301', '20050222', '', 'Pegawai', 'Dr Gunawan', '811199', 232800, 232800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19664, '70010898', '2005', '19664', '20050301', '20050215', '', 'Isteri', 'RS Mary', '811199', 53000, 53000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19665, '65021085', '2005', '19665', '20050301', '20050224', '', 'Pegawai', 'RS Haji Jkt', '811199', 434500, 434500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19666, '78031478', '2005', '19666', '20050301', '20050224', '', 'Pegawai', 'Klinik Nirmala', '811199', 52000, 52000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19667, '62920017', '2005', '19667', '20050301', '20050223', '', 'Pegawai', 'Dr Agung P', '811199', 395000, 395000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19668, '74042240', '2005', '19668', '20050301', '20050228', '', 'Isteri', 'Dr Bharoto M', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19669, '65950196', '2005', '19669', '20050301', '20050226', '', 'Pegawai', 'Klinik Yasmin', '811199', 138500, 138500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19670, '74950356', '2005', '19670', '20050301', '20050228', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 354000, 354000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19671, '61920040', '2005', '19671', '20050301', '20050228', 'Ilham Idris Ardiansyah Pulungan', 'Anak II', 'dr Leopold', '811199', 650000, 650000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19672, '17101947', '2005', '19672', '20050303', '20050221', '', 'Pegawai', 'RS Dharmais', '811199', 155500, 155500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19673, '60920041', '2005', '19673', '20050303', '20050224', 'Danapati Suprakasa', 'Anak III', 'RS Bunda Jkt', '811199', 481900, 481900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19674, '77000672', '2005', '19674', '20050303', '20050218', '', 'Pegawai', 'RS An-Nisa', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19675, '65920033', '2005', '19675', '20050303', '20050302', 'Fiqih Ramadhan', 'Anak II', 'Dr Azwir', '811199', 213200, 213200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19676, '55021244', '2005', '19676', '20050303', '20050301', '', 'Anak I', 'Dr Tantri R', '811199', 754500, 754500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19677, '16801865', '2005', '19677', '20050303', '20050205', '', 'Anak I', 'Dr Rani', '811199', 22000, 22000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19678, '61930122', '2005', '19678', '20050303', '20050225', '', 'Anak I', 'RS Medika Perm Hijau', '811199', 434900, 434900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19679, '69960396', '2005', '19679', '20050303', '20050228', '', 'Anak I', 'RS Puri Medika', '811199', 226000, 226000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19680, '73032086', '2005', '19680', '20050303', '20050228', '', 'Pegawai', 'Dr Maria', '811199', 78500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19681, '74021263', '2005', '19681', '20050303', '20050227', '', 'Anak I', 'Klinik Prima M', '811199', 115300, 115300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19682, '61920069', '2005', '19682', '20050303', '20050216', 'Nabila Maharani', 'Anak III', 'Apotik Sarika', '811199', 67600, 67600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19683, '74021101', '2005', '19683', '20050303', '20050223', '', 'Isteri', 'Dr Karel M', '811199', 154300, 154300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19684, '60960384', '2005', '19684', '20050303', '20050225', '', 'Anak II', 'Hermina Bekasi', '811199', 112000, 112000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19685, '17301957', '2005', '19685', '20050303', '20050226', '', 'Anak I', 'Dr Andreas L', '811199', 230000, 230000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19686, '73042189', '2005', '19686', '20050303', '20050226', '', 'Anak I', 'Dr Joseph', '811199', 250000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19687, '67940157', '2005', '19687', '20050303', '20050228', '', 'Anak I', 'RS Omni Medical', '811199', 673300, 673300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19688, '67990636', '2005', '19688', '20050303', '20050222', 'Harish Hashuro M', 'Anak I', 'RS Hermina Depok', '811199', 302525, 223725, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19689, '50950207', '2005', '19689', '20050303', '20050228', 'Sapariyah', 'Isteri', 'RS Bhakti Yhuda', '811199', 303000, 303000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19690, '77032118', '2005', '19690', '20050303', '20050301', '', 'Pegawai', 'Klinik Umum Kukusan', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19691, '62920017', '2005', '19691', '20050303', '20050228', '', 'Pegawai', 'Dr Welinton', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19692, '66920029', '2005', '19692', '20050303', '20050226', 'Rian Rahman Yuntoharjo', 'Anak I', 'RSI Bintaro', '811199', 289780, 289780, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19693, '72990610', '2005', '19693', '20050303', '20050203', '', 'Anak I', 'Dr Aris', '811199', 100500, 100500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19694, '70000961', '2005', '19694', '20050303', '20050301', '', 'Isteri', 'RS Bunda', '811199', 288800, 288800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19695, '73021088', '2005', '19695', '20050303', '20050302', '', 'Isteri', 'Drg Esther G', '811199', 471800, 471800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19696, '65940151', '2005', '19696', '20050303', '20050216', '', 'Anak I', 'Dr Susanto', '811199', 155900, 155900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19697, '78031478', '2005', '19697', '20050303', '20050302', '', 'Pegawai', 'Klinik Nirmala', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19698, '66920067', '2005', '19698', '20050303', '20050301', '', 'Anak I', 'Dr HM Ahmad', '811199', 589500, 359500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19699, '70010898', '2005', '19699', '20050303', '20050302', 'Anindya F.', 'Anak I', 'RS Permata Cbb', '811199', 320300, 320300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19700, '61970468', '2005', '19700', '20050303', '20050226', '', 'Anak I', 'RS Budhi Jaya', '811199', 255500, 255500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19701, '77011035', '2005', '19701', '20050303', '20050226', '', 'Pegawai', 'dr Edwin', '811199', 313000, 313000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19702, '70970487', '2005', '19702', '20050303', '20050303', '', 'Pegawai', 'dr Wenda Thuraw', '811199', 794000, 794000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19703, '70010891', '2005', '19703', '20050303', '20050212', '', 'Isteri', 'dr Soemitro', '811199', 280000, 280000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19704, '64930109', '2005', '19704', '20050309', '20050302', 'Amiralina Maharani Permata Nero', 'Anak II', 'RS Hermina', '811199', 629030, 629030, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19705, '63970464', '2005', '19705', '20050309', '20050302', '', 'Pegawai', 'drg esnyoto', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19706, '65970472', '2005', '19706', '20050309', '20050302', '', 'Pegawai', 'RS Medistra', '811199', 507500, 507500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19707, '65970472', '2005', '19707', '20050309', '20050309', '', 'Pegawai', 'RS Medistra', '811199', 238000, 238000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19708, '62950197', '2005', '19708', '20050309', '20050221', 'M.Oktavian Hutama', 'Anak I', 'dr Amalia', '811199', 391000, 391000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19709, '69960401', '2005', '19709', '20050309', '20050309', '', 'Pegawai', 'dr Donald', '811199', 76500, 76500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19710, '65000730', '2005', '19710', '20050309', '20050222', 'Rini Mayasari S', 'Isteri', 'RS Baromeus', '811199', 545100, 495100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19711, '78021046', '2005', '19711', '20050309', '20050227', '', 'Pegawai', 'Aptk Aulia', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19712, '77021067', '2005', '19712', '20050309', '20050124', '', 'Anak I', 'dr H Suryono', '811199', 293100, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19713, '16900803', '2005', '19713', '20050309', '20050301', '', 'Isteri', 'RS Bunda', '811199', 240300, 240300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19714, '64960402', '2005', '19714', '20050315', '20050225', '', 'Pegawai', 'Klinik Al Jahu', '811199', 724000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19715, '68950221', '2005', '19715', '20050309', '20050203', '', 'Pegawai', 'drg Sri Suliswati', '811199', 520000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19716, '68950341', '2005', '19716', '20050309', '20050308', '', 'Anak I', 'RSAB Harapan Kita', '811199', 156000, 156000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19717, '72980510', '2005', '19717', '20050309', '20050305', 'M. Nur Muhriza', 'Anak I', 'RS MH Thamrin', '811199', 259000, 259000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19718, '76010936', '2005', '19718', '20050309', '20050308', '', 'Pegawai', 'RS Aini', '811199', 320700, 320700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19719, '65930143', '2005', '19719', '20050309', '20050304', '', 'Pegawai', 'RS Medistra', '811199', 774000, 774000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19720, '73000708', '2005', '19720', '20050309', '20050302', '', 'Anak I', 'dr H Bambang', '811199', 235000, 235000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19721, '70970480', '2005', '19721', '20050309', '20050304', '', 'Anak I', 'RS YPK', '811199', 363000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19722, '67960411', '2005', '19722', '20050309', '20050301', 'Achmad Rizki Noversi', 'Anak I', 'RS Harapan Bunda', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19723, '70950231', '2005', '19723', '20050309', '20050303', '', 'Pegawai', 'dr Ratna', '811199', 315000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19724, '60980529', '2005', '19724', '20050309', '20050303', '', 'Pegawai', 'RS Haji', '811199', 62000, 62000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19725, '70000684', '2005', '19725', '20050309', '20050130', '', 'Anak I', 'dr Rusmini', '811199', 112000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19726, '66980545', '2005', '19726', '20050309', '20050226', 'Rika Waisulkarni', 'Isteri', 'RS MMC', '811199', 692600, 692600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19727, '76980517', '2005', '19727', '20050309', '20050304', '', 'Anak II', 'RS Puri Cinere', '811199', 1297600, 1297600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19728, '61920040', '2005', '19728', '20050309', '20050304', '', 'Pegawai', 'RS Pertamina', '811199', 359492, 359492, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19729, '71980540', '2005', '19729', '20050309', '20050228', 'Indah Kusharyanti', 'Isteri', 'dr Budhi', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19730, '69960401', '2005', '19730', '20050309', '20050305', '', 'Pegawai', 'RS Hermina', '811199', 432700, 432700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19731, '68960412', '2005', '19731', '20050309', '20050302', 'Michelle Shan C.', 'Anak I', 'dr Liliyani', '811199', 313500, 313500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19732, '65950196', '2005', '19732', '20050309', '20050305', '', 'Pegawai', 'RSCM', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19733, '67950357', '2005', '19733', '20050309', '20050306', 'Ria Fitri', 'Isteri', 'Klinik Tomang', '811199', 276000, 276000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19734, '71960398', '2005', '19734', '20050309', '20050226', '', 'Isteri', 'RS Graha Medika', '811199', 800000, 800000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19735, '70000961', '2005', '19735', '20050309', '20050307', '', 'Isteri', 'RS Bunda', '811199', 270000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19736, '79042172', '2005', '19736', '20050309', '20050225', '', 'Pegawai', 'RS Medistra', '811199', 205100, 205100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19737, '70031507', '2005', '19737', '20050309', '20050305', '', 'Anak I', 'RS Saint Carolus', '811199', 449700, 449700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19738, '73010858', '2005', '19738', '20050309', '20050302', '', 'Anak I', 'RS Mitra Int', '811199', 121811, 121811, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19739, '66950355', '2005', '19739', '20050309', '20050304', '', 'Isteri', 'Sam Marie', '811199', 608000, 608000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19740, '72000772', '2005', '19740', '20050309', '20050305', '', 'Anak I', 'RS Harapan Bunda', '811199', 369000, 369000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19741, '70010891', '2005', '19741', '20050309', '20050305', '', 'Isteri', 'dr Krisyanto', '811199', 86200, 86200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19742, '73021143', '2005', '19742', '20050309', '20050223', '', 'Isteri', 'Bhakti Permai', '811199', 465000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19743, '78021046', '2005', '19743', '20050309', '20050307', '', 'Pegawai', 'RS Budi Lestari', '811199', 156000, 156000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19744, '74990649', '2005', '19744', '20050309', '20050306', '', 'Pegawai', 'Aptk Prima', '811199', 113400, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19745, '68960388', '2005', '19745', '20050309', '20050228', '', 'Anak II', 'RS Medistra', '811199', 184000, 184000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19746, '68960388', '2005', '19746', '20050309', '20050304', 'Indriani', 'Isteri', 'RS Medistra', '811199', 340500, 340500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19747, '72950364', '2005', '19747', '20050309', '20050302', '', 'Anak II', 'RS Tria Dipa', '811199', 166000, 166000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19748, '77021433', '2005', '19748', '20050309', '20050305', '', 'Anak II', 'Klinik Assalam', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19749, '81031917', '2005', '19749', '20050309', '20050304', '', 'Pegawai', 'Klinik Prima', '811199', 122000, 122000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19750, '74970450', '2005', '19750', '20050309', '20050305', '', 'Pegawai', 'Klinik Yunda', '811199', 33000, 33000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19751, '65930143', '2005', '19751', '20050309', '20050202', 'Meity Andrina', 'Isteri', 'RS Dharma Nugraha', '811199', 710000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19752, '77032118', '2005', '19752', '20050309', '20050306', '', 'Pegawai', 'Klinik Kezia', '811199', 116500, 116500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19753, '74000719', '2005', '19753', '20050309', '20050305', '', 'Anak I', 'RS Marry', '811199', 88100, 88100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19754, '71990660', '2005', '19754', '20050309', '20050223', '', 'Pegawai', 'dr Ronald', '811199', 53000, 53000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19755, '60920075', '2005', '19755', '20050309', '20050213', '', 'Pegawai', 'RS Tumbuh Kembang', '811199', 456000, 456000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19756, '72000794', '2005', '19756', '20050309', '20050303', '', 'Isteri', 'dr Puri', '811199', 176500, 176500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19757, '75020004', '2005', '19757', '20050309', '20050218', '', 'Anak I', 'dr Hartantyo', '811199', 92600, 92600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19758, '76960435', '2005', '19758', '20050309', '20050304', '', 'Isteri', 'RS Siloam', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19759, '59021080', '2005', '19759', '20050309', '20050303', '', 'Anak I', 'RS Hermina', '811199', 179875, 179875, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19760, '60032087', '2005', '19760', '20050309', '20050216', '', 'Anak I', 'dr Afriyanti', '811199', 78000, 78000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19761, '66920035', '2005', '19761', '20050309', '20050208', 'Rayyan Attarr Z.A.', 'Anak II', 'RS Inter,l Bintaro', '811199', 487066, 487066, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19762, '70010898', '2005', '19762', '20050309', '20050305', '', 'Pegawai', 'RS Panti Nugraha', '811199', 281000, 281000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19763, '72950205', '2005', '19763', '20050309', '20050305', '', 'Pegawai', 'RS Tumbuh Kembang', '811199', 220900, 220900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19764, '78042328', '2005', '19764', '20050309', '20050305', '', 'Pegawai', 'Rs Mitra Keluarga', '811199', 386100, 386100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19765, '68960412', '2005', '19765', '20050309', '20050305', '', 'Pegawai', 'dr Liliyani', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19766, '70960409', '2005', '19766', '20050309', '20050219', '', 'Pegawai', 'dr Efrida Sinaga', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19767, '63920052', '2005', '19767', '20050309', '20050303', 'Asti Rizkiana V', 'Isteri', 'RS Mitra Int,l', '811199', 278760, 278760, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19768, '73950170', '2005', '19768', '20050309', '20050306', '', 'Pegawai', 'dr S J Rija', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19769, '74990664', '2005', '19769', '20050309', '20050307', '', 'Pegawai', 'dr Marlina', '811199', 232400, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19770, '73032086', '2005', '19770', '20050309', '20050228', '', 'Pegawai', 'dr Maria', '811199', 352500, 352500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19771, '69960396', '2005', '19771', '20050315', '20050313', '', 'Anak I', 'Klinik Mutiara Asih', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19772, '72000696', '2005', '19772', '20050315', '20050307', '', 'Anak I', 'RS Haji', '811199', 201250, 201250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19773, '70950370', '2005', '19773', '20050315', '20050308', '', 'Anak I', 'Dr M. Badar', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19774, '70960414', '2005', '19774', '20050315', '20050215', '', 'Pegawai', 'Drg Gunawan', '811199', 450000, 450000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19775, '66010859', '2005', '19775', '20050315', '20050309', 'Pratiti', 'Isteri', 'Klinik Andini', '811199', 96500, 96500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19776, '67950357', '2005', '19776', '20050315', '20050309', 'Fariz Rayhan Siregar', 'Anak I', 'Dr Martani W', '811199', 282500, 282500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19777, '79010904', '2005', '19777', '20050315', '20050309', '', 'Pegawai', 'RS Kanker Dharmais', '811199', 340000, 340000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19778, '63920047', '2005', '19778', '20050318', '20050305', '', 'Isteri', 'RS Medistra', '811199', 413000, 413000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19779, '17600790', '2005', '19779', '20050315', '20050308', '', 'Pegawai', 'RS Triadipa', '811199', 327000, 327000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19780, '17201001', '2005', '19780', '20050315', '20050308', '', 'Anak I', 'RS Puri Cinere', '811199', 250900, 250900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19781, '70010891', '2005', '19781', '20050315', '20050309', '', 'Pegawai', 'RS JMC', '811199', 113400, 113400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19782, '17101947', '2005', '19782', '20050315', '20050309', '', 'Anak I', 'RS Bhakti Yudha', '811199', 421300, 421300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19783, '73021143', '2005', '19783', '20050315', '20050309', '', 'Pegawai', 'RS Islam Jkt', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19784, '73000708', '2005', '19784', '20050315', '20050307', '', 'Anak I', 'Dr Hany P', '811199', 176200, 176200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19785, '60980529', '2005', '19785', '20050315', '20050308', '', 'Pegawai', 'RS Haji', '811199', 316045, 316045, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19786, '72950363', '2005', '19786', '20050315', '20050309', '', 'Anak I', 'RS Bunda', '811199', 105700, 105700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19787, '67950203', '2005', '19787', '20050315', '20050309', '', 'Pegawai', 'Klinik Raifa''', '811199', 209500, 209500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19788, '69960401', '2005', '19788', '20050315', '20050312', '', 'Anak III', 'Dr Yulia', '811199', 388200, 388200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19789, '17800821', '2005', '19789', '20050315', '20050312', '', 'Isteri', 'RS Siaga', '811199', 431600, 431600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19790, '63970483', '2005', '19790', '20050315', '20050302', '', 'Anak I', 'RS PMI', '811199', 275000, 275000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19791, '78031489', '2005', '19791', '20050315', '20050309', '', 'Pegawai', 'Drg Rahmi', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19792, '65970482', '2005', '19792', '20050315', '20050309', '', 'Pegawai', 'RS Medistra', '811199', 31300, 31300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19793, '77021138', '2005', '19793', '20050315', '20050314', '', 'Pegawai', 'Klinik Remedika Bintaro', '811199', 227500, 227500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19794, '68950221', '2005', '19794', '20050315', '20050305', '', 'Anak II', 'Klinik Bahar Medika', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19795, '61950175', '2005', '19795', '20050315', '20050312', '', 'Pegawai', 'Dr Adhityawarman', '811199', 693500, 693500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19796, '68930133', '2005', '19796', '20050315', '20050311', '', 'Pegawai', 'Dr Benny', '811199', 235000, 235000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19797, '71940159', '2005', '19797', '20050315', '20050310', '', 'Anak I', 'Dr. Widodo', '811199', 678806, 678806, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19798, '63970464', '2005', '19798', '20050315', '20050314', '', 'Pegawai', 'Drg. esnyoto', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19799, '70950183', '2005', '19799', '20050315', '20050314', '', 'Pegawai', 'Drg. Debbie S', '811199', 159000, 159000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19800, '70990586', '2005', '19800', '20050315', '20050312', '', 'Isteri', 'RS Siloam', '811199', 250100, 250100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19801, '79010894', '2005', '19801', '20050315', '20050305', '', 'Pegawai', 'Dr Sri S', '811199', 364000, 364000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19802, '71011018', '2005', '19802', '20050315', '20050306', '', 'Anak I', 'Klinik Melati Medika', '811199', 47000, 47000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19803, '71950212', '2005', '19803', '20050315', '20050304', '', 'Pegawai', 'Aptk Dharma N', '811199', 201000, 201000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19804, '63970478', '2005', '19804', '20050315', '20050309', '', 'Pegawai', 'Dr Bernhard', '811199', 91200, 91200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19805, '71990647', '2005', '19805', '20050315', '20050311', '', 'Anak I', 'RS IKKT', '811199', 660300, 660300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19806, '65960399', '2005', '19806', '20050315', '20050222', 'Mariam', 'Isteri', 'Dr Widyanto', '811199', 290500, 290500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19807, '75031506', '2005', '19807', '20050315', '20050307', '', 'Pegawai', 'Bor Med Center', '811199', 146750, 146750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19808, '74990649', '2005', '19808', '20050315', '20050310', '', 'Pegawai', 'Dr Yanuar', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19809, '76010869', '2005', '19809', '20050315', '20050226', '', 'Pegawai', 'Klinik Marnda', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19810, '81031505', '2005', '19810', '20050315', '20050307', '', 'Pegawai', 'RS MH Thambrin', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19811, '70970475', '2005', '19811', '20050315', '20050312', '', 'Anak I', 'RSIA Anna', '811199', 645200, 645200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19812, '73950346', '2005', '19812', '20050315', '20050223', '', 'Pegawai', 'Drg. Siwy', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19813, '68021246', '2005', '19813', '20050315', '20050220', '', 'Pegawai', 'Apt Kimia Farma', '811199', 285800, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19814, '70010898', '2005', '19814', '20050315', '20050309', '', 'Pegawai', 'Drg I. Ichsan', '811199', 383000, 383000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19815, '65920048', '2005', '19815', '20050315', '20050309', '', 'Isteri', 'Dr Wiwiek', '811199', 94000, 94000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19816, '69940161', '2005', '19816', '20050315', '20050308', 'Idah Maimun Hafidah', 'Isteri', 'Polik. Cibubur', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19817, '71042200', '2005', '19817', '20050315', '20050302', '', 'Isteri', 'RS Puri Cinere', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19818, '71042200', '2005', '19818', '20050315', '20050308', '', 'Isteri', 'RS Depok Jasa', '811199', 189000, 189000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19819, '71990574', '2005', '19819', '20050315', '20050301', '', 'Pegawai', 'RSPI', '811199', 169000, 169000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19820, '66950355', '2005', '19820', '20050315', '20050311', '', 'Isteri', 'Clinik Medika', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19821, '71970456', '2005', '19821', '20050318', '20050223', '', 'Pegawai', 'dr Faisal', '811199', 207500, 207500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19822, '70010898', '2005', '19822', '20050318', '20050312', '', 'Pegawai', 'dr Rengsi Uli', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19823, '70970475', '2005', '19823', '20050318', '20050315', '', 'Anak I', 'RSIA Anna', '811199', 191300, 191300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19824, '68960412', '2005', '19824', '20050318', '20050312', '', 'Anak II', 'dr Liliyani', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19825, '69000669', '2005', '19825', '20050318', '20050306', '', 'Pegawai', 'RS Tria Dipa', '811199', 161000, 161000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19826, '74950356', '2005', '19826', '20050318', '20050317', 'Thifal N.', 'Anak II', 'dr Osrizal', '811199', 447300, 447300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19827, '77000678', '2005', '19827', '20050318', '20050221', '', 'Pegawai', 'dr Setiadi', '811199', 184500, 184500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19828, '79030001', '2005', '19828', '20050318', '20050309', '', 'Pegawai', 'dr Kartini', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19829, '70000961', '2005', '19829', '20050318', '20050315', '', 'Isteri', 'RS Bunda', '811199', 226000, 226000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19830, '64950185', '2005', '19830', '20050318', '20050225', '', 'Isteri', 'RS Prakasih', '811199', 1441900, 817750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19831, '76970457', '2005', '19831', '20050318', '20050310', '', 'Pegawai', 'Klinik Nirmala', '811199', 650000, 650000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19832, '76021052', '2005', '19832', '20050318', '20050316', '', 'Pegawai', 'Rs Medistra', '811199', 187900, 187900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19833, '70950231', '2005', '19833', '20050318', '20050317', '', 'Pegawai', 'dr al Mansyur', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19834, '71980540', '2005', '19834', '20050318', '20050314', 'Indah Kusharyanti', 'Isteri', 'dr Budhi', '811199', 225000, 225000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19835, '64920046', '2005', '19835', '20050318', '20050314', 'Hastati Purwaningsih', 'Isteri', 'drg Rita', '811199', 280000, 280000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19836, '62920060', '2005', '19836', '20050318', '20050316', 'Osama Ladn Rayhan', 'Anak I', 'Rs Medistra', '811199', 357000, 357000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19837, '66920064', '2005', '19837', '20050318', '20050312', 'M. Eryan', 'Anak I', 'Raditya Medica', '811199', 274000, 274000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19838, '65970472', '2005', '19838', '20050318', '20050315', '', 'Pegawai', 'RS Medistra', '811199', 508200, 508200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19839, '67950213', '2005', '19839', '20050318', '20050309', 'Martadewi', 'Isteri', 'dr Della', '811199', 159500, 159500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19840, '68000760', '2005', '19840', '20050318', '20050315', '', 'Pegawai', 'Denta Medika', '811199', 446550, 446550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19841, '68000709', '2005', '19841', '20050318', '20050310', '', 'Isteri', 'Rs Hermina', '811199', 188975, 188975, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19842, '74021263', '2005', '19842', '20050318', '20050316', '', 'Anak I', 'dr Bambang', '811199', 410000, 410000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19843, '16900803', '2005', '19843', '20050318', '20050316', '', 'Pegawai', 'Rs Mitra', '811199', 890158, 890158, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19844, '74021101', '2005', '19844', '20050318', '20050316', '', 'Isteri', 'dr Linda', '811199', 769000, 534000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19845, '78010962', '2005', '19845', '20050318', '20050225', '', 'Isteri', 'dr Dian', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19846, '72000707', '2005', '19846', '20050318', '20050316', '', 'Anak I', 'dr Endang', '811199', 189000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19847, '72000763', '2005', '19847', '20050318', '20050315', '', 'Pegawai', 'Klinik JMC', '811199', 260100, 260100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19848, '72990610', '2005', '19848', '20050318', '20050315', '', 'Anak I', 'Klinik Elyna', '811199', 106000, 106000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19849, '79031439', '2005', '19849', '20050318', '20050316', '', 'Pegawai', 'dr Koesmanto', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19850, '69950162', '2005', '19850', '20050318', '20050316', 'Muhammad Nadhif Judhananto', 'Anak I', 'RS Siaga', '811199', 168300, 168300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19851, '61920045', '2005', '19851', '20050318', '20050312', 'Sutirma J.Rosalina', 'Isteri', 'RS Tumbuh Kembang', '811199', 213800, 213800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19852, '68960388', '2005', '19852', '20050318', '20050314', '', 'Anak II', 'RS Medistra', '811199', 177000, 177000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19853, '75020004', '2005', '19853', '20050318', '20050305', '', 'Anak I', 'Klinik Sumber', '811199', 83500, 83500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19854, '54099650', '2005', '19854', '20050318', '20050316', 'Nadia Mutiarani', 'Anak III', 'RS Medistra', '811199', 491000, 491000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19855, '73021081', '2005', '19855', '20050318', '20050309', '', 'Pegawai', 'dr H Budhy', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19856, '63970478', '2005', '19856', '20050318', '20050316', '', 'Pegawai', 'dr Bernhard', '811199', 27600, 27600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19857, '66000670A', '2005', '19857', '20050318', '20050309', '', 'Pegawai', 'dr Nanny', '811199', 119300, 119300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19858, '65960399', '2005', '19858', '20050318', '20050316', '', 'Pegawai', 'dr A C Harun', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19859, '72000701', '2005', '19859', '20050318', '20050317', '', 'Pegawai', 'dr Yuditha', '811199', 237900, 237900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19860, '60031703', '2005', '19860', '20050318', '20050305', '', 'Anak I', 'RS Yadika', '811199', 68000, 68000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19861, '78032102', '2005', '19861', '20050318', '20050310', '', 'Pegawai', 'RS JMC', '811199', 154500, 154500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19862, '72021050', '2005', '19862', '20050322', '20050205', '', 'Isteri', 'RS Abdi Waluyo', '811199', 223000, 223000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19863, '71950212', '2005', '19863', '20050322', '20050317', '', 'Pegawai', 'Aptk Dharma Nugraha', '811199', 188000, 188000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19864, '71960437', '2005', '19864', '20050322', '20050316', 'Rinawati', 'Isteri', 'RSIA Permata', '811199', 146600, 146600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19865, '65920018', '2005', '19865', '20050322', '20050319', 'Aslha', 'Anak III', 'dr Himawan', '811199', 171000, 171000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19866, '65950196', '2005', '19866', '20050322', '20050319', '', 'Pegawai', 'RSCM', '811199', 275000, 275000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19867, '67920065', '2005', '19867', '20050322', '20050224', '', 'Pegawai', 'Klinik Sasanty', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19868, '74000719', '2005', '19868', '20050322', '20050315', '', 'Anak I', 'RS Permata Cibubur', '811199', 170800, 170800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19869, '67940157', '2005', '19869', '20050322', '20050316', '', 'Anak I', 'RS Omni Medical', '811199', 286500, 286500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19870, '65930147', '2005', '19870', '20050322', '20050318', '', 'Anak II', 'RS Harum', '811199', 348500, 348500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19871, '70950183', '2005', '19871', '20050322', '20050316', '', 'Pegawai', 'dr Paul Francis', '811199', 292800, 292800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19872, '69960401', '2005', '19872', '20050322', '20050319', '', 'Pegawai', 'dr Ronald', '811199', 322900, 322900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19873, '66920064', '2005', '19873', '20050322', '20050319', 'M. Eryan', 'Anak I', 'Raditya Medical', '811199', 328000, 328000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19874, '72000696', '2005', '19874', '20050322', '20050312', '', 'Anak I', 'RS Hermina', '811199', 475228, 475228, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19875, '65920033', '2005', '19875', '20050322', '20050319', '', 'Anak III', 'RS tumbuh Kembang', '811199', 191000, 191000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19876, '66950191', '2005', '19876', '20050322', '20050314', 'Andriana', 'Isteri', 'RSPI', '811199', 820190, 820190, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19877, '79042170', '2005', '19877', '20050322', '20050318', '', 'Pegawai', 'dr Edward Rizal', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19878, '68960412', '2005', '19878', '20050322', '20050319', 'Michelle Shan C.', 'Anak I', 'dr Liliyani', '811199', 154000, 154000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19879, '77000672', '2005', '19879', '20050322', '20050318', '', 'Pegawai', 'dr Fajar', '811199', 352200, 352200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19880, '78000693', '2005', '19880', '20050322', '20050321', '', 'Pegawai', 'ENC Center', '811199', 365800, 365800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19881, '17501895', '2005', '19881', '20050322', '20050306', '', 'Anak I', 'dr Baralangi', '811199', 273700, 273700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19882, '68950221', '2005', '19882', '20050322', '20050320', 'Nurseha', 'Isteri', 'dr Hasri', '811199', 179000, 179000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19883, '17601989', '2005', '19883', '20050322', '20050321', '', 'Pegawai', 'dr Al Marno', '811199', 274100, 274100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19884, '61970468', '2005', '19884', '20050322', '20050319', '', 'Anak I', 'RS MMC', '811199', 267000, 267000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19885, '63990637', '2005', '19885', '20050322', NULL, 'Abdul Hadi', 'Anak III', 'RS Budhi Asih', '811199', 367549, 221000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19886, '70980554', '2005', '19886', '20050322', '20050319', '', 'Anak I', 'RS Permata Cibubur', '811199', 1045000, 1045000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19887, '16801865', '2005', '19887', '20050322', '20050319', 'Sulami A.', 'Isteri', 'dr Hardi', '811199', 338050, 338050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19888, '63970464', '2005', '19888', '20050322', '20050318', '', 'Pegawai', 'Ladokgi', '811199', 36000, 36000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19889, '72099654', '2005', '19889', '20050322', '20050314', '', 'Anak I', 'Aptk Ajiwaras', '811199', 175600, 175600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19890, '71990574', '2005', '19890', '20050322', '20050319', '', 'Pegawai', 'RSPI', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19891, '73950346', '2005', '19891', '20050322', '20050319', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19892, '70970487', '2005', '19892', '20050322', '20050322', '', 'Pegawai', 'dr Wenda Thu', '811199', 782100, 782100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19893, '61000731', '2005', '19893', '20050322', '20050319', '', 'Pegawai', 'Poli Kimia Farma', '811199', 226400, 226400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19894, '61000731', '2005', '19894', '20050322', '20050319', '', 'Pegawai', 'Poli Kimia Farma', '811199', 45000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19895, '70950183', '2005', '19895', '20050322', '20050321', '', 'Pegawai', 'drg Debbie', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19896, '17101947', '2005', '19896', '20050322', '20050225', '', 'Isteri', 'RS Dharmais', '811199', 187300, 187300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19897, '71990647', '2005', '19897', '20050329', '20050321', 'Yanti Sinaga', 'Isteri', 'RS Harkit', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19898, '66000670A', '2005', '19898', '20050329', '20050318', '', 'Pegawai', 'Dr Nany L', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19899, '64010984', '2005', '19899', '20050329', '20050314', '', 'Pegawai', 'RB Citra Ananda', '811199', 308000, 308000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19900, '69950162', '2005', '19900', '20050329', '20050321', 'Muhammad Nadhif Judhananto', 'Anak I', 'RSPI', '811199', 256899, 256899, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19901, '76970457', '2005', '19901', '20050329', '20050324', 'Dimas P.', 'Anak I', 'Klinik Nirmala', '811199', 550000, 550000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19902, '81031469', '2005', '19902', '20050329', '20050315', '', 'Pegawai', 'Klinik Adimas', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19903, '17301957', '2005', '19903', '20050329', '20050316', '', 'Isteri', 'RS Siloam', '811199', 708592, 708592, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19904, '60970479', '2005', '19904', '20050329', '20050319', '', 'Pegawai', 'Drg Hendrik I', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19905, '17501981', '2005', '19905', '20050329', '20050327', '', 'Pegawai', 'RS Dharma N', '811199', 258600, 258600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19906, '67970470', '2005', '19906', '20050329', '20050326', '', 'Pegawai', 'RS Bina Husada', '811199', 107100, 107100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19907, '70970475', '2005', '19907', '20050329', '20050326', '', 'Anak I', 'RSIA Anna', '811199', 477200, 477200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19908, '71960437', '2005', '19908', '20050329', '20050323', '', 'Pegawai', 'Dr Endang', '811199', 92000, 92000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19909, '16801865', '2005', '19909', NULL, '20050328', '', 'Pegawai', 'Prof Dr Agus', '811199', 207000, 207000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19910, '70000961', '2005', '19910', '20050329', '20050328', '', 'Isteri', 'RS Bunda', '811199', 494500, 494500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19911, '72980510', '2005', '19911', '20050329', '20050326', 'M. Nur Muhriza', 'Anak I', 'RS Mitra Int', '811199', 420982, 420982, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19912, '66000670A', '2005', '19912', '20050329', '20050328', '', 'Pegawai', 'Dr nanay L', '811199', 104300, 104300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19913, '70031507', '2005', '19913', '20050329', '20050329', '', 'Pegawai', 'Polikl Dharma B', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19914, '64950184', '2005', '19914', '20050329', '20050323', 'Nadia Astuti', 'Isteri', 'Klinik Puri Mutia', '811199', 535000, 535000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19915, '78021046', '2005', '19915', '20050329', '20050326', '', 'Pegawai', 'RS Annisa', '811199', 176300, 176300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19916, '77000793', '2005', '19916', '20050329', '20050312', '', 'Pegawai', 'Drg Laksmi', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19917, '72099654', '2005', '19917', '20050329', '20050326', '', 'Isteri', 'JMC', '811199', 95100, 95100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19918, '76021234', '2005', '19918', '20050329', '20050325', '', 'Isteri', 'Dr Hamzah', '811199', 44000, 44000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19919, '70930144', '2005', '19919', '20050329', '20050327', '', 'Anak I', 'RS Hermina', '811199', 262000, 262000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19920, '76021052', '2005', '19920', '20050329', '20050321', '', 'Pegawai', 'Klinik Yunda', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19921, '16701946', '2005', '19921', '20050329', '20050315', '', 'Anak I', 'Dr Endang L', '811199', 529500, 529500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19922, '70950370', '2005', '19922', '20050329', '20050321', '', 'Pegawai', 'Dr M Badar', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19923, '76030008', '2005', '19923', '20050329', '20050317', '', 'Anak I', 'Dr Soerachmo', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19924, '72950363', '2005', '19924', '20050329', '20050326', '', 'Pegawai', 'Samudra Medical', '811199', 62500, 62500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19925, '17600790', '2005', '19925', '20050329', '20050319', '', 'Pegawai', 'RS Hermina', '811199', 275650, 265650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19926, '69960396', '2005', '19926', '20050329', '20050322', '', 'Anak I', 'RS Sukmul', '811199', 168000, 168000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19927, '57980555', '2005', '19927', '20050329', '20050303', 'Rusmiati', 'Isteri', 'Dr Maria C', '811199', 207200, 207200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19928, '78031489', '2005', '19928', '20050329', '20050322', '', 'Pegawai', 'Dr Siti R D', '811199', 253000, 253000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19929, '69960401', '2005', '19929', '20050329', '20050323', '', 'Pegawai', 'apotik Kimia Farma', '811199', 124200, 124200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19930, '77011035', '2005', '19930', '20050329', '20050326', '', 'Pegawai', 'dr Edwin', '811199', 233000, 233000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19931, '68950221', '2005', '19931', '20050329', '20050323', '', 'Anak II', 'RS Hermina', '811199', 241020, 241020, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19932, '17700818', '2005', '19932', '20050329', '20050322', '', 'Pegawai', 'Dr Boentaran', '811199', 285000, 285000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19933, '68960388', '2005', '19933', '20050329', '20050316', '', 'Pegawai', 'Klinik Bukit Duri', '811199', 57000, 57000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19934, '72950364', '2005', '19934', '20050329', '20050323', '', 'Anak I', 'Dr I Made Wisnu', '811199', 578000, 578000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19935, '68000760', '2005', '19935', '20050329', '20050322', '', 'Pegawai', 'Denta Medica', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19936, '77021067', '2005', '19936', '20050329', '20050321', '', 'Anak I', 'Dr Faisal Z', '811199', 115500, 115500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19937, '17601989', '2005', '19937', '20050329', '20050324', '', 'Pegawai', 'Dr Usman Atma', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19938, '67920054', '2005', '19938', '20050329', '20050323', 'Tamam Ibrahim Satrio', 'Anak I', 'Citra Graha Medica', '811199', 302200, 302200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19939, '70950370', '2005', '19939', '20050329', '20050326', '', 'Pegawai', 'Dr M Badar', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19940, '62910013', '2005', '19940', '20050329', '20050318', '', 'Anak I', 'Klinik Keluarga', '811199', 97000, 97000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19941, '75020001', '2005', '19941', '20050329', '20050321', '', 'Pegawai', 'RS Cikini', '811199', 183800, 183800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19942, '78031478', '2005', '19942', '20050329', '20050321', '', 'Pegawai', 'RS Mitra Intl', '811199', 287617, 287617, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19943, '80021417', '2005', '19943', '20050329', '20050324', '', 'Pegawai', 'JMC', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19944, '62910008', '2005', '19944', '20050329', '20050301', '', 'Pegawai', 'Drg Soecipto', '811199', 111500, 111500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19945, '79030001', '2005', '19945', '20050329', '20050322', '', 'Pegawai', 'Drg Kusmanto', '811199', 243000, 243000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19946, '67970469', '2005', '19946', '20050329', '20050324', 'Suharti', 'Isteri', 'Drg Gina R', '811199', 550000, 550000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19947, '72021050', '2005', '19947', '20050329', '20050323', '', 'Isteri', 'RS Harapan Bunda', '811199', 292500, 192500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19948, '70940155', '2005', '19948', '20050329', '20050326', 'Astri FW.', 'Anak I', 'Dr Bara Langit', '811199', 58000, 58000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19949, '60920041', '2005', '19949', '20050329', '20050328', 'Dewi Handayani', 'Isteri', 'Drg Galuh', '811199', 750000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19950, '72000772', '2005', '19950', '20050329', '20050322', '', 'Isteri', 'RS Harapan Bunda', '811199', 154700, 154700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19951, '79042170', '2005', '19951', '20050329', '20050321', '', 'Pegawai', 'dr Rocky', '811199', 78000, 78000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19952, '69980544', '2005', '19952', '20050329', '20050315', '', 'Pegawai', 'RS BMC', '811199', 1281300, 1281300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19953, '55021244', '2005', '19953', '20050404', '20050331', '', 'Anak I', 'drg Tantri R', '811199', 239000, 239000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19954, '65980552', '2005', '19954', '20050404', '20050318', 'Faiz Afif', 'Anak II', 'RB Putra Kinasih', '811199', 573000, 573000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19955, '71960403', '2005', '19955', '20050404', '20050401', '', 'Pegawai', 'RS Medistra', '811199', 291400, 291400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19956, '63990637', '2005', '19956', '20050404', '20050526', '', 'Pegawai', 'RS Haji', '811199', 591000, 559000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19957, '67970470', '2005', '19957', '20050404', '20050322', '', 'Pegawai', 'dr Loky', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19958, '72990610', '2005', '19958', '20050404', '20050323', '', 'Anak I', 'RS St Carolus', '811199', 47000, 47000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19959, '74950356', '2005', '19959', '20050404', '20050401', 'Thifal N.', 'Anak II', 'dr Budi', '811199', 412700, 412700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19960, '71000750', '2005', '19960', '20050404', '20050330', '', 'Pegawai', 'Klinik Graha Medika', '811199', 44000, 44000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19961, '72000696', '2005', '19961', '20050404', '20050402', '', 'Anak I', 'RS Hermina', '811199', 370350, 370350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19962, '67930127', '2005', '19962', '20050404', '20050217', '', 'Anak I', 'dr Nartono', '811199', 806950, 267550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19963, '80021417', '2005', '19963', '20050404', '20050331', '', 'Pegawai', 'JMC', '811199', 313000, 310000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19964, '68920053', '2005', '19964', '20050404', '20050309', 'Syahida Nurrahmah', 'Anak II', 'drg Dewi', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19965, '73021081', '2005', '19965', '20050404', '20050321', '', 'Anak I', 'Dr Budhy', '811199', 118000, 118000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19966, '64960402', '2005', '19966', '20050404', '20050331', '', 'Pegawai', 'MMC', '811199', 294400, 294400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19967, '62920017', '2005', '19967', '20050404', '20050328', 'Hadidjah Sansono', 'Isteri', 'Dr Welinton', '811199', 545000, 545000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19968, '66920067', '2005', '19968', '20050404', '20050316', '', 'Pegawai', 'Dr HM. Ahmad', '811199', 453800, 368800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19969, '78010962', '2005', '19969', '20050404', '20050329', '', 'Pegawai', 'Dr Erlang S', '811199', 357000, 357000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19970, '69960413', '2005', '19970', '20050404', '20050330', '', 'Pegawai', 'Dr Yustin', '811199', 326700, 326700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19971, '66950220', '2005', '19971', '20050404', '20050318', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19972, '65920018', '2005', '19972', '20050404', '20050331', '', 'Pegawai', 'Dr Himawan', '811199', 145500, 145500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19973, '17101947', '2005', '19973', '20050404', '20050331', '', 'Anak I', 'RSU Bhakti Yudha', '811199', 193375, 193375, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19974, '17800821', '2005', '19974', '20050404', '20050330', '', 'Isteri', 'Dr Dwi S Budi', '811199', 225000, 225000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19975, '67920089', '2005', '19975', '20050404', '20050329', 'Muhammad Ilham Kamil', 'Anak II', 'RS MMC', '811199', 353200, 353200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19976, '69980544', '2005', '19976', '20050404', '20050330', '', 'Pegawai', 'RS BMC', '811199', 106950, 106950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19977, '70010898', '2005', '19977', '20050404', '20050324', '', 'Isteri', 'RS Mary', '811199', 245000, 245000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19978, '66920106', '2005', '19978', '20050404', '20050330', 'Fitriani', 'Isteri', 'BPU YADI', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19979, '71990599', '2005', '19979', '20050404', '20050329', '', 'Pegawai', 'RS Omni Medical', '811199', 258500, 258500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19980, '69950178', '2005', '19980', '20050404', '20050331', '', 'Pegawai', 'RS Medistra', '811199', 217700, 217700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19981, '74950226', '2005', '19981', '20050404', '20050330', 'Sheza M. A.', 'Anak II', 'RS Husada', '811199', 177150, 177150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19982, '65960348', '2005', '19982', '20050404', '20050330', '', 'Pegawai', 'Dr Justin S. SPKK', '811199', 567000, 567000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19983, '71980551', '2005', '19983', '20050404', '20050330', '', 'Pegawai', 'RS Tebet', '811199', 460000, 460000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19984, '71990647', '2005', '19984', '20050404', '20050328', 'Yanti Sinaga', 'Isteri', 'RS Harkit', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19985, '73950170', '2005', '19985', '20050404', '20050329', '', 'Anak I', 'drg Rita', '811199', 155000, 155000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19986, '73010858', '2005', '19986', '20050404', '20050322', '', 'Anak I', 'RS Mitra Int', '811199', 122197, 122197, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19987, '67950203', '2005', '19987', '20050404', '20050329', 'Yuli Sumirah', 'Isteri', 'Klinik Syarief', '811199', 288500, 288500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19988, '76021236', '2005', '19988', '20050407', '20050404', '', 'Pegawai', 'RS Bhayangkara', '811199', 190100, 150100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19989, '8002002', '2005', '19989', '20050407', '20050331', '', 'Pegawai', 'dr Agus', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19990, '65930147', '2005', '19990', '20050407', '20050402', '', 'Anak II', 'RS Harum', '811199', 244500, 244500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19991, '68920057', '2005', '19991', '20050407', '20050405', '', 'Pegawai', 'Kezia Medika', '811199', 102000, 102000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19992, '67940157', '2005', '19992', '20050407', '20050330', '', 'Pegawai', 'RS Harapan Kita', '811199', 683000, 683000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19993, '66000670A', '2005', '19993', '20050407', '20050404', '', 'Pegawai', 'dr Nany H', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19994, '60032087', '2005', '19994', '20050407', '20050328', '', 'Pegawai', 'dr Afriyanti', '811199', 74000, 74000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19995, '66980545', '2005', '19995', '20050407', '20050401', 'Rika Waisulkarni', 'Isteri', 'RS MMC', '811199', 590200, 590200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19996, '65930143', '2005', '19996', '20050407', '20050304', '', 'Pegawai', 'Prodia', '811199', 746900, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19997, '72031488', '2005', '19997', '20050407', '20050322', '', 'Pegawai', 'dr Bambang', '811199', 470000, 470000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19998, '77032118', '2005', '19998', '20050407', '20050330', '', 'Pegawai', 'RS Agung', '811199', 382550, 382550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (19999, '69021047', '2005', '19999', '20050407', '20050317', '', 'Anak I', 'dr Hartaniah', '811199', 110500, 110500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (20000, '63000711', '2005', '20000', '20050407', '20050328', '', 'Pegawai', 'RS MMC', '811199', 236500, 236500, NULL, NULL, 'A', 'medical')


SET IDENTITY_INSERT [MedicalRestitusiDetail] OFF
";

$q = mssql_query($sql,$conn);
if($q){
	echo"Data Restitusi Pegawai sudah diimport BAGIAN V ... <br>
	Silahkan hapus file ini, dan tutup browser Anda <br><br>
	
	Terima Kasih
	";
}
?>